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General NPI Number Information
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NPI Number | 1124478896
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Entity Type | Organization
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Legal Business Name | DR ELAINE COWEN LLC
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 12 STOCKTON ST
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City | PRINCETON
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State | NJ
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Zip | 08540-6813
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Country | US
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Telephone | 609-970-8237
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Fax | 609-294-7172
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Provider Business Mailing Address
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Address Line | 12 STOCKTON ST
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City | PRINCETON
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State | NJ
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Zip | 08540-6813
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Country | US
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Telephone | 609-970-8237
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Fax | 609-294-7172
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Authorized Official
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Title or Position | OWNER
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Name | ELAINE R COWEN
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Credential | APN
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Telephone | 609-970-8237
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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 | 26NC09233000
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License Number State | NJ
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