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General NPI Number Information
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NPI Number | 1205152550
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Entity Type | Individual
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Provider Name | ROSE SHELLEY COHEN RD, LDN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 04/12/2010
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 7676 NEW HAMPSHIRE AVE SUITE 220A
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City | TAKOMA PARK
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State | MD
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Zip | 20912-7512
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Country | US
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Telephone | 240-880-1893
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Fax | 301-585-6289
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Provider Business Mailing Address
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Address Line | 8630 FENTON ST SUITE 1204
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City | SILVER SPRING
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State | MD
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Zip | 20910-3806
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Country | US
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Telephone | 240-880-1893
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Fax | 240-499-2602
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DX2793
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License Number State | MD
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