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NPI 1104895358

NPI 1104895358 : STANLEY NEAL COHEN MD : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1104895358
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    Entity Type          |    Individual 
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    Provider Name        |    STANLEY NEAL COHEN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/17/2006
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    Last Update Date     |    02/10/2010
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Provider Practice Location Address
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    Address Line         |    3131 LACANADA STREET SUITE 101
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89169-2592
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    Country              |    US
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    Telephone            |    702-731-8115
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    Fax                  |    702-784-7844
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Provider Business Mailing Address
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    Address Line         |    3131 LACANADA STREET SUITE 101
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89169-2592
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    Country              |    US
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    Telephone            |    702-731-8115
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    Fax                  |    702-784-7844
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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        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    11606
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    License Number State |    NV
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