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General NPI Number Information
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NPI Number | 1922419423
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Entity Type | Individual
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Provider Name | POLLY-GEAN COX LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 5306 NC HIGHWAY 55 STE 105
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City | DURHAM
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State | NC
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Zip | 27713-7812
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Country | US
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Telephone | 919-457-1517
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Fax | 919-363-7697
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Provider Business Mailing Address
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Address Line | 4901 LAWNDALE DR
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City | GREENSBORO
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State | NC
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Zip | 27455-1874
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Country | US
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Telephone | 336-289-1807
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Fax |
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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 | C010033
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License Number State | NC
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