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General NPI Number Information
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NPI Number | 1962757161
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Entity Type | Organization
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Legal Business Name | RON CIPRIANO AND ASSICIATES IN COUNSELING LLC
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 10/14/2013
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Provider Practice Location Address
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Address Line | 9471 BAYMEADOWS RD 301
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7932
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Country | US
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Telephone | 904-503-2634
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Fax | 904-503-2637
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Provider Business Mailing Address
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Address Line | 9471 BAYMEADOWS DR.SUITE 301
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City | JACKSONVILLE
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State | FL
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Zip | 32256
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Country | US
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Telephone | 904-503-2634
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Fax | 904-503-2637
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Authorized Official
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Title or Position | THERAPIST
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Name | STEPHEN A JOHNSON
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Credential | MS
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Telephone | 904-503-2637
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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 | PMH
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License Number State | FL
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