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General NPI Number Information
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NPI Number | 1992879290
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Entity Type | Organization
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Legal Business Name | RICHARD COHEN ASSOCIATES
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2021 NEW ROAD SUITE 5
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City | LINWOOD
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State | NJ
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Zip | 08221
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Country | US
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Telephone | 609-653-2134
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Fax | 609-653-6494
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Provider Business Mailing Address
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Address Line | 2021 NEW ROAD SUITE 5
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City | LINWOOD
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State | NJ
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Zip | 08221
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Country | US
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Telephone | 609-653-2134
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Fax | 609-653-6494
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Authorized Official
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Title or Position | DIRECTOR OWNER PSYCHOLOGIST
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Name | MR. RICHARD COHEN
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Credential | MA PSYCHOLOGIST
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Telephone | 609-653-2134
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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 | 35SI00080900
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License Number State | NJ
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