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General NPI Number Information
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NPI Number | 1073657623
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Entity Type | Organization
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Legal Business Name | MITCHELL B COHEN MD PA
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 2291 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3611
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Country | US
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Telephone | 954-963-2151
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Fax | 954-966-6629
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Provider Business Mailing Address
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Address Line | 2291 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3611
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Country | US
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Telephone | 954-963-2151
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Fax | 954-966-6629
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICHELL COHEN
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Credential | MD
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Telephone | 954-963-2151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME69057
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License Number State | FL
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