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General NPI Number Information
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NPI Number | 1114315058
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Entity Type | Organization
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Legal Business Name | RONALD L COHEN, MD PA
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 13590 JOG RD STE 2
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City | DELRAY BEACH
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State | FL
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Zip | 33446-3807
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Country | US
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Telephone | 561-381-7773
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Fax | 561-381-7774
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Provider Business Mailing Address
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Address Line | 13590 JOG RD STE 2
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City | DELRAY BEACH
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State | FL
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Zip | 33446-3807
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Country | US
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Telephone | 561-381-7773
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Fax | 561-381-7774
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD LINCOLN COHEN
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Credential | MD
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Telephone | 561-381-7773
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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 | ME24014
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License Number State | FL
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