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General NPI Number Information
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NPI Number | 1114320330
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Entity Type | Organization
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Legal Business Name | REBECCA S. COHEN, MD, LLC
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 3665 BEE RIDGE RD SUITE 306
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City | SARASOTA
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State | FL
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Zip | 34233-1054
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Country | US
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Telephone | 941-404-0545
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Fax | 941-924-6422
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Provider Business Mailing Address
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Address Line | 3665 BEE RIDGE RD SUITE 306
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City | SARASOTA
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State | FL
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Zip | 34233-1054
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Country | US
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Telephone | 941-404-0545
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Fax | 941-924-6422
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Authorized Official
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Title or Position | OWNER
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Name | DR. REBECCA S COHEN
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Credential | MD
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Telephone | 941-404-0545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME112405
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License Number State | FL
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