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General NPI Number Information
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NPI Number | 1003112509
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Entity Type | Organization
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Legal Business Name | COHEN'S FASHION OPTICAL PUERTO RICO, INC
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | CAROLINA SHOPP CTR LOCAL 245
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City | CAROLINA
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State | PR
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Zip | 00985-5672
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Country | US
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Telephone | 787-701-3165
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Fax | 787-701-3168
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Provider Business Mailing Address
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Address Line | 520 8TH AVE SUITE 900
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City | NEW YORK
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State | NY
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Zip | 10018-6507
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Country | US
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Telephone | 212-729-5373
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Fax | 212-967-5927
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. DARLEEN CETTINA
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Credential |
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Telephone | 212-729-5373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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