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General NPI Number Information
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NPI Number | 1730700584
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Entity Type | Individual
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Provider Name | SHEENA CHRISTINE COOPER LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 9050 PINES BLVD STE 425-431
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6455
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Country | US
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Telephone | 813-446-0984
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Fax |
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Provider Business Mailing Address
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Address Line | 111 NW 183RD ST STE 404
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City | MIAMI
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State | FL
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Zip | 33169-4619
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Country | US
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Telephone | 954-358-9235
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW122671
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW17570
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License Number State | FL
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