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General NPI Number Information
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NPI Number | 1740027432
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Entity Type | Organization
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Legal Business Name | AO CONSULTATION SERVICES, LLC
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Dates
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Enumeration Date | 07/10/2024
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 513 EASTERN BLVD
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City | ESSEX
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State | MD
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Zip | 21221-6702
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Country | US
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Telephone | 443-299-8632
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Fax |
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Provider Business Mailing Address
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Address Line | 750 CONCOURSE CIR STE 103 PMB 390
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2995
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Country | US
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Telephone | 443-299-8632
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. AFFIONG S ODUOK
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Credential | LCPC
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Telephone | 443-299-8632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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