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General NPI Number Information
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NPI Number | 1740893882
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Entity Type | Individual
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Provider Name | BERNADETTE COX LGPC
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Gender | Female
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 11720 BELTSVILLE DR STE 500-A4
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City | BELTSVILLE
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State | MD
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Zip | 20705-3166
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Country | US
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Telephone | 240-755-8089
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Fax | 202-217-4444
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Provider Business Mailing Address
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Address Line | 607 7TH ST APT 402
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City | LAUREL
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State | MD
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Zip | 20707-4095
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Country | US
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Telephone | 301-755-3970
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LGP10746
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License Number State | MD
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