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General NPI Number Information
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NPI Number | 1235123647
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Entity Type | Organization
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Legal Business Name | COHEN & PUSHKIN, M.D., P.A.
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 2506 SAINT PAUL STREET
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City | BALTIMORE
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State | MD
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Zip | 21218
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Country | US
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Telephone | 410-235-3300
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Fax | 410-366-1260
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Provider Business Mailing Address
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Address Line | 2506 SAINT PAUL STREET
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City | BALTIMORE
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State | MD
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Zip | 21218
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Country | US
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Telephone | 410-235-3300
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Fax | 410-366-1260
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Authorized Official
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Title or Position | PRESIDENT/PARTNER
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Name | DR. EDWARD RALPH COHEN
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Credential | M.D.
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Telephone | 410-235-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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