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General NPI Number Information
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NPI Number | 1831674365
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Entity Type | Organization
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Legal Business Name | MJL CONTRACTORS INC
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 31 FRIENDLY CT STE 105
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-2564
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Country | US
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Telephone | 540-899-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 31 FRIENDLY CT STE 105
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-2564
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Country | US
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Telephone | 540-899-3900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MIKE J LAUDICINA
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Credential |
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Telephone | 540-899-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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