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General NPI Number Information
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NPI Number | 1003951609
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Entity Type | Individual
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Provider Name | ELIZABETH ELLEN COHEN PT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4915 COCONUT CREEK PARKWAY
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City | COCONUT CREEK
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State | FL
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Zip | 33063
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Country | US
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Telephone | 954-972-1200
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Fax | 954-972-6212
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Provider Business Mailing Address
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Address Line | 6466 NW 71ST TERRACE
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City | PARKLAND
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State | FL
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Zip | 33067-1216
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Country | US
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Telephone | 954-346-3520
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Fax | 954-346-8040
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT7510
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT97801
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License Number State | NY
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