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General NPI Number Information
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NPI Number | 1699984294
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Entity Type | Organization
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Legal Business Name | BRIAN G COX LCSW PC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1450 NE VILLAGE ST
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City | FAIRVIEW
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State | OR
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Zip | 97024-3827
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Country | US
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Telephone | 503-492-4492
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Fax | 503-492-0855
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Provider Business Mailing Address
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Address Line | 1450 NE VILLAGE ST
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City | FAIRVIEW
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State | OR
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Zip | 97024-3827
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Country | US
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Telephone | 503-492-4492
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Fax | 503-492-0855
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN COX
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Credential | LCSW
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Telephone | 503-201-8122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2785
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License Number State | OR
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