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General NPI Number Information
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NPI Number | 1326387960
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Entity Type | Organization
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Legal Business Name | COHEAR PROJECTS
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Dates
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Enumeration Date | 02/01/2013
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Last Update Date | 12/02/2013
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Provider Practice Location Address
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Address Line | 150 NORTH ST SUITE 39D
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City | PITTSFIELD
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State | MA
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Zip | 01201-5173
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Country | US
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Telephone | 413-499-9994
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Fax | 413-499-5994
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Provider Business Mailing Address
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Address Line | 47 MAIN ST
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City | CUMMINGTON
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State | MA
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Zip | 01026-9742
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Country | US
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Telephone | 413-634-5387
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. KATHRYN LEONE JENSEN
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Credential | PH.D.
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Telephone | 413-634-5387
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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 | 4011
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License Number State | MA
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