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General NPI Number Information
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NPI Number | 1376125765
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Entity Type | Organization
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Legal Business Name | COX CLINICAL SOCIAL WORK SERVICES P.C.
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Dates
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Enumeration Date | 04/25/2021
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Last Update Date | 04/25/2021
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Provider Practice Location Address
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Address Line | 2280 GRAND AVE STE 310
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City | BALDWIN
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State | NY
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Zip | 11510-3110
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Country | US
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Telephone | 917-515-4389
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Fax | 516-812-0021
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Provider Business Mailing Address
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Address Line | 2280 GRAND AVE STE 310
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City | BALDWIN
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State | NY
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Zip | 11510-3110
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Country | US
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Telephone | 917-515-4389
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHARLES E COX
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Credential | LCSWR
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Telephone | 917-515-4389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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