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General NPI Number Information
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NPI Number | 1164801163
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Entity Type | Organization
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Legal Business Name | COX BEHAVIORAL HEALTH GROUP LLC
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 4720 SALISBURY RD # 103
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6101
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Country | US
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Telephone | 904-655-8973
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Fax |
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Provider Business Mailing Address
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Address Line | 4720 SALISBURY ROAD # 103
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City | JACKSONVILLE
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State | FL
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Zip | 32256
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Country | US
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Telephone | 904-655-8973
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | DR. ARTHUR JAMES COX SR.
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Credential | D.S.W.
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Telephone | 904-378-6883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | IMH 12319
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License Number State | FL
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