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General NPI Number Information
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NPI Number | 1144762543
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Entity Type | Individual
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Provider Name | TRACEY SEWTER-COHEN PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 4200 MONUMENT RD
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City | PHILADELPHIA
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State | PA
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Zip | 19131-1625
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Country | US
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Telephone | 215-877-2000
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Fax | 215-581-3848
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Provider Business Mailing Address
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Address Line | 4200 MONUMENT RD
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City | PHILADELPHIA
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State | PA
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Zip | 19131-1625
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Country | US
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Telephone | 215-877-2000
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Fax | 215-581-3848
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN325431L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP033763
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN325431L
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License Number State | PA
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