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General NPI Number Information
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NPI Number | 1083687610
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Entity Type | Individual
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Provider Name | ROBERT A COHEN DO
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 15300 JOG RD SUITE 205
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2163
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Country | US
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Telephone | 561-496-7989
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Fax |
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Provider Business Mailing Address
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Address Line | 15300 JOG RD SUITE 205
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2163
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Country | US
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Telephone | 412-298-1922
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OS004679L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS7741
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License Number State | FL
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