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General NPI Number Information
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NPI Number | 1245313493
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Entity Type | Individual
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Provider Name | ELIN R COHEN MD
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 4 GOODHILL RD
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City | WESTON
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State | CT
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Zip | 06883
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Country | US
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Telephone | 203-226-3035
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Fax | 203-221-1736
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Provider Business Mailing Address
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Address Line | 5 FIELDSTONE DR
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City | EASTON
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State | CT
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Zip | 06612
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Country | US
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Telephone | 203-261-2019
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 037492
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 037492
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License Number State | CT
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