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NPI 1609016633

NPI 1609016633 : AMY TREXLER COZART MS, LPC, NCC : SALISBURY, NC

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General NPI Number Information
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    NPI Number           |    1609016633
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    Entity Type          |    Individual 
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    Provider Name        |    AMY TREXLER COZART MS, LPC, NCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/03/2009
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    Last Update Date     |    03/03/2009
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Provider Practice Location Address
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    Address Line         |    1840 UPPER PALMER RD 
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    City                 |    SALISBURY
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    State                |    NC
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    Zip                  |    28146-8182
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    Country              |    US
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    Telephone            |    704-279-0483
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1840 UPPER PALMER RD 
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    City                 |    SALISBURY
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    State                |    NC
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    Zip                  |    28146-8182
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    Country              |    US
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    Telephone            |    704-279-0483
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    4564
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    License Number State |    NC
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