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General NPI Number Information
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NPI Number | 1679243992
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Entity Type | Individual
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Provider Name | STEPHANIE COX
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Gender | Female
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 501 PRINCE GEORGE ST STE 307
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3665
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Country | US
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Telephone | 757-903-2406
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Fax |
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Provider Business Mailing Address
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Address Line | 539 CORAL CT APT 3C
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4340
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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