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General NPI Number Information
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NPI Number | 1689941916
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Entity Type | Individual
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Provider Name | SANDRA H. KOSMIN M.S.S., L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | 114 FORREST AVENUE SUITE 2
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City | NARBERTH
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State | PA
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Zip | 19046
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Country | US
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Telephone | 610-832-0627
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 382
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City | JENKINTOWN
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State | PA
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Zip | 19046
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Country | US
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Telephone | 610-832-0627
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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 | CW-015418
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License Number State | PA
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