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General NPI Number Information
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NPI Number | 1275766289
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Entity Type | Organization
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Legal Business Name | COHEN SPEECH PATHOLOGY
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 23 STILES RD
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City | SALEM
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State | NH
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Zip | 03079-2859
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Country | US
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Telephone | 603-560-0548
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Fax |
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Provider Business Mailing Address
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Address Line | 23 STILES RD
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City | SALEM
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State | NH
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Zip | 03079-2859
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Country | US
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Telephone | 603-560-0548
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MRS. IRENE STEWART COHEN
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Credential | MS,CCC-SLP
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Telephone | 603-889-2866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 0365
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License Number State | NH
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