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General NPI Number Information
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NPI Number | 1679788533
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Entity Type | Organization
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Legal Business Name | MOLLY COGGINS
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 1590 CONSTITUTION BLVD # 01 BLDG C
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City | ROCK HILL
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State | SC
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Zip | 29732-3004
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Country | US
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Telephone | 803-329-7460
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Fax | 803-328-3840
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Provider Business Mailing Address
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Address Line | 1590 CONSTITUTION BLVD # 01 BLDG C
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City | ROCK HILL
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State | SC
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Zip | 29732-3004
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Country | US
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Telephone | 803-329-7460
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Fax | 803-328-3840
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Authorized Official
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Title or Position | COUNSELOR LPC
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Name | MOLLY FOWLKES COGGINS
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Credential |
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Telephone | 803-329-7460
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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 | 2434
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License Number State | SC
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