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General NPI Number Information
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NPI Number | 1750055471
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Entity Type | Organization
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Legal Business Name | COX THERAPEUTIC SERVICES, PLLC
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 806 E 10TH ST STE 3126
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City | GREENVILLE
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State | NC
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Zip | 27858-3502
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Country | US
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Telephone | 252-258-0822
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Fax | 844-927-1721
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Provider Business Mailing Address
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Address Line | PO BOX 3126
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City | GREENVILLE
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State | NC
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Zip | 27836-1126
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Country | US
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Telephone | 252-258-0822
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Fax | 844-927-1727
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES MATTHEW COX
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Credential | MPH, MS, LCAS, LCMHC
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Telephone | 252-258-0822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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