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General NPI Number Information
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NPI Number | 1831355031
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Entity Type | Individual
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Provider Name | JANICE I COHN DSW
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Gender | Female
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 36 HAWTHORNE PL APT 6V
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3229
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Country | US
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Telephone | 973-509-2320
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Fax | 973-509-8089
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Provider Business Mailing Address
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Address Line | 36 HAWTHORNE PL APT 6V
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3229
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Country | US
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Telephone | 973-509-2320
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Fax | 973-509-8089
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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 | 44SC01171100
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License Number State | NJ
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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 | PR015107-1
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License Number State | NY
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