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General NPI Number Information
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NPI Number | 1689076127
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Entity Type | Individual
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Provider Name | STEPHEN MICHAEL COHEN L.C.P.C.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 6040 SOUTHPORT DR
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City | BETHESDA
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State | MD
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Zip | 20814-1848
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Country | US
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Telephone | 240-753-6185
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Fax | 301-493-6209
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Provider Business Mailing Address
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Address Line | 19801 OBSERVATION DR
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City | GERMANTOWN
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State | MD
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Zip | 20876-4070
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Country | US
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Telephone | 301-557-6814
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Fax | 301-557-5557
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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 | LC4410
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License Number State | MD
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