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General NPI Number Information
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NPI Number | 1336299130
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Entity Type | Individual
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Provider Name | SUSAN VINCENT COX MSW, MA
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15 W MAIN ST
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City | CAMBRIDGE
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State | NY
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Zip | 12816-1118
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Country | US
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Telephone | 518-677-2290
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Fax | 518-677-2290
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Provider Business Mailing Address
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Address Line | 227 EASTON STATION RD
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City | GREENWICH
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State | NY
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Zip | 12834-5947
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Country | US
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Telephone | 518-692-7679
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Fax | 518-677-2290
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | RO36369-1
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License Number State | NY
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