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General NPI Number Information
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NPI Number | 1033363288
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Entity Type | Organization
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Legal Business Name | SIDNEY COHEN OD LTD
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 1900 E CARSON ST
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City | PITTSBURGH
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State | PA
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Zip | 15203-1836
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Country | US
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Telephone | 412-431-5300
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Fax | 412-431-5315
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Provider Business Mailing Address
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Address Line | 1900 E CARSON ST
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City | PITTSBURGH
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State | PA
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Zip | 15203-1836
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Country | US
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Telephone | 412-431-5300
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Fax | 412-431-5315
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRY COHEN
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Credential | OD
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Telephone | 412-431-5300
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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 | OEG000538
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG000538
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License Number State | PA
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