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General NPI Number Information
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NPI Number | 1972788545
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Entity Type | Organization
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Legal Business Name | COVE COUNSELING, PC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 110 LONG POND RD SUITE 210
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City | PLYMOUTH
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State | MA
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Zip | 02360-2642
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Country | US
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Telephone | 508-746-8004
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Fax | 508-746-8099
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Provider Business Mailing Address
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Address Line | 110 LONG POND RD SUITE 210
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City | PLYMOUTH
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State | MA
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Zip | 02360-2642
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Country | US
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Telephone | 508-746-8004
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Fax | 508-746-8099
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. CHARLES BICHAJIAN
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Credential | PH.D.
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Telephone | 508-746-8004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5052
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License Number State | MA
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