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General NPI Number Information
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NPI Number | 1154695575
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Entity Type | Individual
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Provider Name | CAROLINE M COX LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 28 MAIN RD S
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City | HAMPDEN
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State | ME
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Zip | 04444-1303
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Country | US
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Telephone | 207-852-1487
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Fax |
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Provider Business Mailing Address
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Address Line | 15 CHARLES ST
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City | HAMPDEN
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State | ME
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Zip | 04444-1609
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Country | US
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Telephone | 207-585-2148
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC15026
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License Number State | ME
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