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General NPI Number Information
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NPI Number | 1700087657
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Entity Type | Individual
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Provider Name | CHERYL COHEN PMHNP-BC, L.M.F.T
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 330 MAIN ST # 101
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City | HARTFORD
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State | CT
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Zip | 06106-1860
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Country | US
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Telephone | 860-614-7298
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Fax |
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Provider Business Mailing Address
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Address Line | 330 MAIN ST STE 101
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City | HARTFORD
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State | CT
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Zip | 06106-1860
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Country | US
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Telephone | 860-969-1101
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000937
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 12443
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License Number State | CT
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