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General NPI Number Information
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NPI Number | 1013134865
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Entity Type | Individual
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Provider Name | MRS. SANDRA N COHEN
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 3200 SUNSET AVE SUITE 211
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City | OCEAN
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State | NJ
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Zip | 07712-4567
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Country | US
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Telephone | 732-859-9241
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Fax | 732-493-2853
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Provider Business Mailing Address
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Address Line | 49 RAWSON CIR
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City | OCEAN
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State | NJ
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Zip | 07712-2580
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Country | US
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Telephone |
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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 | 44SC00087600
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License Number State | NJ
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