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General NPI Number Information
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NPI Number | 1699148098
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Entity Type | Individual
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Provider Name | JODI COBB PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/06/2015
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Last Update Date | 11/19/2016
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Provider Practice Location Address
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Address Line | 9101 SYBERT DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-6433
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Country | US
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Telephone | 443-574-5322
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Fax | 888-496-6626
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Provider Business Mailing Address
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Address Line | 9101 SYBERT DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-6433
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Country | US
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Telephone | 443-574-5322
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Fax | 888-496-6626
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LGM448
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCM574
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License Number State | MD
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