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General NPI Number Information
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NPI Number | 1306228812
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Entity Type | Organization
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Legal Business Name | CENTER FOR COPING
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Dates
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Enumeration Date | 06/20/2015
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Last Update Date | 06/20/2015
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Provider Practice Location Address
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Address Line | 12 W CHERRY ST
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City | HICKSVILLE
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State | NY
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Zip | 11801-3802
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Country | US
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Telephone | 516-822-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 12 W CHERRY ST
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City | HICKSVILLE
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State | NY
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Zip | 11801-3802
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Country | US
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Telephone | 516-822-3131
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR
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Name | DR. ROBERT H PHILLIPS
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Credential | PHD
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Telephone | 516-822-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6069
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License Number State | NY
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