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General NPI Number Information
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NPI Number | 1841328515
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Entity Type | Individual
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Provider Name | MS. JILL ILENE COHEN
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 39 MAIN ST SUITE #5
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City | NORTHAMPTON
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State | MA
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Zip | 01060
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Country | US
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Telephone | 413-586-4802
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Fax | 413-586-5882
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Provider Business Mailing Address
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Address Line | 39 MAIN ST SUITE #5
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City | NORTHAMPTON
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State | MA
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Zip | 01060
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Country | US
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Telephone | 413-586-4802
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Fax | 413-586-5882
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1018773
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License Number State | MA
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