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General NPI Number Information
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NPI Number | 1487762910
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Entity Type | Individual
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Provider Name | ANNE STUBBS COONEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 36TH ST SUITE C
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City | VERO BEACH
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State | FL
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Zip | 32960-7323
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Country | US
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Telephone | 772-564-0406
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Fax | 772-564-0407
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Provider Business Mailing Address
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Address Line | 400 BEACHVIEW DR 2 NORTH
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City | VERO BEACH
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State | FL
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Zip | 32963-3672
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Country | US
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Telephone | 772-231-0520
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW5459
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License Number State | FL
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