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General NPI Number Information
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NPI Number | 1194102202
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Entity Type | Organization
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Legal Business Name | COHENS FASHION OPTICAL
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 6000 GLADES RD #1040
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City | BOCA RATON
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State | FL
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Zip | 33431-7208
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Country | US
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Telephone | 561-368-1187
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 GLADES RD #1040
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City | BOCA RATON
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State | FL
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Zip | 33431-7208
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Country | US
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Telephone | 561-368-1187
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MAUREEN FLAHERTY
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Credential |
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Telephone | 212-729-5365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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