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General NPI Number Information
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NPI Number | 1962606277
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Entity Type | Individual
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Provider Name | MADELINE COHEN MSW
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6401 FRANCE AVE S EMERGENCY MEDICINE DEPT-DEC
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City | EDINA
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State | MN
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Zip | 55435-2104
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Country | US
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Telephone | 952-924-5112
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Fax |
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Provider Business Mailing Address
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Address Line | 3652 PINECREST CT
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City | EAGAN
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State | MN
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Zip | 55123-1000
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Country | US
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Telephone | 651-452-2041
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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 | 12327
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License Number State | MN
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