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General NPI Number Information
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NPI Number | 1003487497
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Entity Type | Individual
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Provider Name | CHLOE TESS COHEN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 84 PRESCOTT ST APT 3
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City | CAMBRIDGE
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State | MA
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Zip | 02138-4349
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Country | US
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Telephone | 310-804-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 84 PRESCOTT ST APT 3
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City | CAMBRIDGE
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State | MA
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Zip | 02138-4349
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Country | US
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Telephone | 310-804-0330
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 10000835
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License Number State | MA
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