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General NPI Number Information
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NPI Number | 1033598933
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Entity Type | Individual
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Provider Name | ANQUINITA COCHRAN LPC-S CANDIDATE, LPC
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Gender | Female
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Dates
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Enumeration Date | 05/25/2015
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 454 ANDERSON RD S STE 313
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City | ROCK HILL
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State | SC
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Zip | 29730-3398
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Country | US
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Telephone | 803-384-7333
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Fax | 803-497-9311
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Provider Business Mailing Address
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Address Line | 331 E MAIN ST STE 200
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City | ROCK HILL
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State | SC
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Zip | 29730-5371
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 15109
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6464
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License Number State | SC
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