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General NPI Number Information
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NPI Number | 1801064183
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Entity Type | Organization
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Legal Business Name | MAJ CONSULTING SERVICE, LLC
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 3620 LAKE LAWNE AVE
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City | ORLANDO
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State | FL
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Zip | 32808-7418
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Country | US
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Telephone | 407-295-2154
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Fax | 407-295-1803
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Provider Business Mailing Address
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Address Line | 3620 LAKE LAWNE AVE
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City | ORLANDO
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State | FL
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Zip | 32808-7418
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Country | US
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Telephone | 407-295-2154
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Fax | 407-295-1803
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MAMIE A. JONES
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Credential | L.M.H.C.
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Telephone | 407-295-2154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH0692
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License Number State | FL
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