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General NPI Number Information
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NPI Number | 1821710492
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Entity Type | Organization
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Legal Business Name | COXON THERAPY SERVICES LLC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 5706 GROVE AVENUE
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City | RICHMOND
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State | VA
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Zip | 23226
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Country | US
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Telephone | 180-478-7057
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Fax | 804-636-0300
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Provider Business Mailing Address
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Address Line | 303 N HAMILTON ST APT B
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City | RICHMOND
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State | VA
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Zip | 23221-2031
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Country | US
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Telephone | 180-478-7057
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. SARA EVALYN COXON
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Credential | LCSW
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Telephone | 804-787-0572
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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 |
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License Number State |
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