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General NPI Number Information
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NPI Number | 1104267426
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Entity Type | Individual
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Provider Name | RICHARD FRANK COCO PHD
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Gender | Male
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 07/15/2013
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Provider Practice Location Address
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Address Line | 163 BROOKSIDE AVE
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City | ALLENDALE
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State | NJ
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Zip | 07401-1704
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Country | US
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Telephone | 201-819-4687
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Fax | 201-327-2218
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Provider Business Mailing Address
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Address Line | 163 BROOKSIDE AVE
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City | ALLENDALE
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State | NJ
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Zip | 07401-1704
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Country | US
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Telephone | 201-819-4687
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Fax | 201-327-2218
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4308
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 4308
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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