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General NPI Number Information
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NPI Number | 1538721477
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Entity Type | Individual
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Provider Name | JODY MORGAN COGAR MSW
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Gender | Female
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 70 EDGEWOOD RD
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City | SARANAC LAKE
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State | NY
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Zip | 12983-1537
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Country | US
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Telephone | 518-354-4161
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Fax |
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Provider Business Mailing Address
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Address Line | 41 ROCKLAND AVE
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City | SARANAC LAKE
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State | NY
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Zip | 12983-2312
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Country | US
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Telephone | 518-637-7450
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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 |
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License Number State |
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