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General NPI Number Information
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NPI Number | 1154624351
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Entity Type | Individual
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Provider Name | HENRY S COHEN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 287 RT 32
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City | CENTRAL VALLEY
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State | NY
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Zip | 10917
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Country | US
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Telephone | 845-928-2205
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Fax | 845-928-7801
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Provider Business Mailing Address
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Address Line | PO BOX 36
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City | CENTRAL VALLEY
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State | NY
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Zip | 10917
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Country | US
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Telephone | 845-928-2205
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Fax | 845-928-7801
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 029426
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License Number State | NY
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