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General NPI Number Information
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NPI Number | 1952793903
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Entity Type | Individual
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Provider Name | SIMONE COX LPC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2015
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 2450 PIEDMONT RD NE STE 200
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City | ATLANTA
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State | GA
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Zip | 30324-3569
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Country | US
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Telephone | 770-510-6945
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Fax | 770-217-3177
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Provider Business Mailing Address
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Address Line | 1380 BRISBANE DR
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City | DACULA
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State | GA
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Zip | 30019-7713
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Country | US
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Telephone | 770-510-6945
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 008216
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001419
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License Number State | GA
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