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General NPI Number Information
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NPI Number | 1982820759
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Entity Type | Individual
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Provider Name | MAJUANA MAYO LSW
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 845 N PARK RD
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City | WYOMISSING
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State | PA
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Zip | 19610-1342
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Country | US
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Telephone | 484-709-1381
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Fax | 833-497-1352
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Provider Business Mailing Address
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Address Line | 108 HICKORY AVE
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City | TEMPLE
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State | PA
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Zip | 19560-1674
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Country | US
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Telephone | 229-894-9274
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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