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General NPI Number Information
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NPI Number | 1437895471
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Entity Type | Organization
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Legal Business Name | MADELINE COOPER LCSW, P.C.
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 276 5TH AVE STE 704-3051
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City | NEW YORK
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State | NY
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Zip | 10001-4509
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Country | US
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Telephone | 917-719-4761
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Fax |
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Provider Business Mailing Address
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Address Line | 426 WESTPORT AVE # 1016
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City | NORWALK
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State | CT
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Zip | 06851-4423
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Country | US
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Telephone | 917-719-4761
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MADELINE COPER
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Credential | LCSW
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Telephone | 917-719-4761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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