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General NPI Number Information
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NPI Number | 1336414408
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Entity Type | Individual
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Provider Name | DEBRA SUE COHEN M.S., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 3703 10TH AVE
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City | NEW YORK
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State | NY
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Zip | 10034-1860
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Country | US
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Telephone | 212-567-8109
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Fax |
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Provider Business Mailing Address
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Address Line | 953 COUNTRY CLUB DR
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City | TEANECK
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State | NJ
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Zip | 07666-5615
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Country | US
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Telephone | 201-837-8984
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 013368-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 46TR00376400
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License Number State | NJ
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