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General NPI Number Information
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NPI Number | 1346330586
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Entity Type | Organization
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Legal Business Name | DRS COHEN PA ORTHODONTISTS & TMJ ASSOCIATES
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 9250 GLADES RD SUITE 208
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City | BOCA RATON
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State | FL
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Zip | 33434
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Country | US
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Telephone | 561-488-8898
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Fax |
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Provider Business Mailing Address
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Address Line | 9250 GLADES RD SUITE 208
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City | BOCA RATON
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State | FL
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Zip | 33434
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Country | US
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Telephone | 561-488-8898
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. BRION P COHEN
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Credential | DDS
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Telephone | 561-488-8898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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