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General NPI Number Information
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NPI Number | 1770471617
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Entity Type | Individual
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Provider Name | ELMER COX II
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Gender | Male
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 3313 LEXINGTON RD
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City | WINCHESTER
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State | KY
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Zip | 40391-9524
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Country | US
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Telephone | 859-953-1006
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Fax | 859-545-5294
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Provider Business Mailing Address
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Address Line | 3313 LEXINGTON RD
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City | WINCHESTER
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State | KY
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Zip | 40391-9524
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Country | US
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Telephone | 859-953-1006
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Fax | 859-545-5294
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 299133
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License Number State | KY
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