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General NPI Number Information
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NPI Number | 1235167263
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Entity Type | Organization
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Legal Business Name | ROBERT A. COHEN, M.D., P.C.
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2296 OPITZ BLVD SUITE 260
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3300
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Country | US
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Telephone | 703-670-8614
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Fax | 703-583-6104
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Provider Business Mailing Address
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Address Line | 2296 OPITZ BLVD SUITE 260
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3300
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Country | US
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Telephone | 703-670-8614
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Fax | 703-583-6104
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. ROBERT ALAN COHEN
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Credential | M.D.
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Telephone | 703-670-8614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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