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General NPI Number Information
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NPI Number | 1538843578
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Entity Type | Individual
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Provider Name | NATHAN COX
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Gender | Male
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 6604 STATE ROUTE 56
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City | POTSDAM
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State | NY
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Zip | 13676
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Country | US
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Telephone | 315-439-9930
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Fax |
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Provider Business Mailing Address
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Address Line | 2116 COUNTY ROUTE 5
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City | BRUSHTON
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State | NY
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Zip | 12916-3817
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Country | US
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Telephone | 518-353-2586
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12567-01
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License Number State | NY
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