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General NPI Number Information
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NPI Number | 1124202577
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Entity Type | Organization
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Legal Business Name | ROBERT F COHEN CPO
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 10540 ROCKAWAY BLVD
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City | OZONE PARK
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State | NY
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Zip | 11417-2304
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Country | US
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Telephone | 718-789-0996
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Fax | 718-789-3716
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Provider Business Mailing Address
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Address Line | 10540 ROCKAWAY BLVD
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City | OZONE PARK
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State | NY
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Zip | 11417-2304
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Country | US
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Telephone | 718-789-0996
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Fax | 718-789-3716
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Authorized Official
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Title or Position | OWNER / SOLE PROPRIETOR
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Name | MR. ROBERT F COHEN
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Credential | C.P.O
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Telephone | 718-789-0996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | P&O-850
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License Number State | NY
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