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General NPI Number Information
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NPI Number | 1174694434
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Entity Type | Individual
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Provider Name | MARY DAWN COX ED.D.
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Gender | Female
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 1121 TROTWOOD AVE STE 1
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City | COLUMBIA
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State | TN
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Zip | 38401-1803
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Country | US
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Telephone | 615-406-0593
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Fax | 615-468-0926
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Provider Business Mailing Address
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Address Line | 1121 TROTWOOD AVE SUITE 1
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City | COLUMBIA
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State | TN
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Zip | 38401-1803
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Country | US
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Telephone | 615-406-0593
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Fax | 605-468-0926
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | P2071
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | P0000002071
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License Number State | TN
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