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General NPI Number Information
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NPI Number | 1184780538
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Entity Type | Individual
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Provider Name | CHARLES FRANK COHEN O.D.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 817 W ESPLANADE AVE
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City | KENNER
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State | LA
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Zip | 70065-6219
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Country | US
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Telephone | 504-712-3551
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Fax | 504-712-3556
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Provider Business Mailing Address
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Address Line | 4404 VETERANS MEMORIAL BLVD
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City | METAIRIE
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State | LA
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Zip | 70006-5329
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Country | US
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Telephone | 504-455-5523
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Fax | 504-455-6941
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 724-185T
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License Number State | LA
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