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General NPI Number Information
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NPI Number | 1205902772
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Entity Type | Organization
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Legal Business Name | HAROLD L. COHEN, M.D., LLC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 2901 S MCINTIRE DR
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4209
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Country | US
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Telephone | 812-332-1401
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Fax | 812-332-3062
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Provider Business Mailing Address
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Address Line | 2901 S MCINTIRE DR
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4209
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Country | US
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Telephone | 812-332-1401
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Fax | 812-332-3062
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Authorized Official
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Title or Position | MEMBER-PHYSICIAN
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Name | DR. HAROLD LANE COHEN
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Credential | MD
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Telephone | 812-332-1401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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