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General NPI Number Information
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NPI Number | 1235471137
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Entity Type | Individual
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Provider Name | SALLY COHEN-CUTLER M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 3500 CIVIC CENTER BLVD RM 3512
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4395
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Country | US
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Telephone | 455-544-0051
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 CIVIC CENTER BLVD RM 3512
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4395
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Country | US
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Telephone | 455-544-0051
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Fax |
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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 | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | A148488
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | MD479604
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License Number State | PA
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