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General NPI Number Information
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NPI Number | 1073136131
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Entity Type | Organization
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Legal Business Name | COPING CENTER INC
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Dates
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Enumeration Date | 05/24/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 401 BAILEY DR
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City | HOLLANDALE
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State | MS
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Zip | 38748-3206
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Country | US
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Telephone | 662-394-5101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64
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City | HOLLANDALE
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State | MS
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Zip | 38748-0064
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Country | US
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Telephone | 662-394-5101
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. SYLVIA COPE DUNCAN
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Credential | LPC
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Telephone | 662-394-5101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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