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General NPI Number Information
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NPI Number | 1265562003
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Entity Type | Individual
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Provider Name | MORTON DONALD COHEN DDS
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 80 OFFICE PARK WAY SUITE #2
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City | PITTSFORD
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State | NY
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Zip | 14534-1748
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Country | US
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Telephone | 585-381-7970
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Fax | 585-586-9533
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Provider Business Mailing Address
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Address Line | 1 PARK FOREST DR
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City | PITTSFORD
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State | NY
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Zip | 14534-3557
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Country | US
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Telephone | 585-248-2263
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 029423
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License Number State | NY
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