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General NPI Number Information
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NPI Number | 1225154982
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Entity Type | Individual
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Provider Name | CAROL PAXTON COX PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 100 S ATKINSON RD SUITE 205
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City | GRAYSLAKE
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State | IL
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Zip | 60030-7817
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Country | US
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Telephone | 847-309-2422
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Fax |
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Provider Business Mailing Address
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Address Line | 28357 W STEWART AVE
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City | SPRING GROVE
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State | IL
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Zip | 60081-9009
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Country | US
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Telephone | 847-587-2422
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.006939
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License Number State | IL
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