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General NPI Number Information
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NPI Number | 1912829318
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Entity Type | Organization
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Legal Business Name | MXJ HEALTHCARE LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 2368 FLAX TER
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City | BALTIMORE
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State | MD
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Zip | 21209-4624
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Country | US
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Telephone | 443-414-9573
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Fax | 240-559-0218
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Provider Business Mailing Address
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Address Line | 3730 FALLS RD
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City | BALTIMORE
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State | MD
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Zip | 21211-1844
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Country | US
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Telephone | 443-414-9573
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Fax | 443-414-9573
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Authorized Official
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Title or Position | OWNER
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Name | MALCOLM XAVIER JEFFERIES SR.
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Credential | NP
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Telephone | 443-414-9573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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