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General NPI Number Information
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NPI Number | 1932438462
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Entity Type | Individual
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Provider Name | KAREN M COCCO PHD
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Gender | Female
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 57 UNION PL SUITE 212
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City | SUMMIT
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State | NJ
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Zip | 07901-2568
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Country | US
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Telephone | 862-216-4202
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Fax |
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Provider Business Mailing Address
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Address Line | 100 STONE HILL RD APT. L4
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-2115
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Country | US
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Telephone | 862-216-4202
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35SI00483400
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License Number State | NJ
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