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General NPI Number Information
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NPI Number | 1144796814
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Entity Type | Organization
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Legal Business Name | MEREDITH M. COHEN, PH.D.
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 100 CUMMINGS CTR STE 537K
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City | BEVERLY
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State | MA
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Zip | 01915-6233
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Country | US
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Telephone | 978-338-5516
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CUMMINGS CTR STE 537K
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City | BEVERLY
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State | MA
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Zip | 01915-6233
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Country | US
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Telephone | 978-338-5516
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MEREDITH M. COHEN
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Credential | PH.D.
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Telephone | 978-338-5515
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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 |
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License Number State |
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