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General NPI Number Information
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NPI Number | 1366557795
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Entity Type | Organization
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Legal Business Name | ABOUTSKIN DERMATOLOGY AND DERMSURGERY PC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 5340 S. QUEBEC ST. SUITE 300
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1909
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Country | US
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Telephone | 303-756-7546
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Fax | 303-756-7547
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Provider Business Mailing Address
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Address Line | 5340 S. QUEBEC ST SUITE 300
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1909
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Country | US
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Telephone | 303-756-7546
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Fax | 303-756-7547
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOEL L COHEN
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Credential | M.D.
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Telephone | 303-756-7546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 39913
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License Number State | CO
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