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General NPI Number Information
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NPI Number | 1477707891
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Entity Type | Organization
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Legal Business Name | KAREN L COTTON PSYD LLC
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 621 S NEW BALLAS RD TOWER A SUITE 398
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8232
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Country | US
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Telephone | 314-306-1609
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Fax |
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Provider Business Mailing Address
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Address Line | 621 S NEW BALLAS RD TOWER A SUITE 398
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8232
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Country | US
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Telephone | 314-306-1609
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. KAREN L COTTON
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Credential | PSYD
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Telephone | 314-306-1609
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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 | 01673
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License Number State | MO
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