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General NPI Number Information
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NPI Number | 1407199615
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Entity Type | Organization
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Legal Business Name | SMITH AND COHEN LLC
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Dates
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Enumeration Date | 04/05/2013
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 12137 86TH RD N
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City | WEST PALM BEACH
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State | FL
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Zip | 33412-2658
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Country | US
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Telephone | 561-784-4920
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Fax | 561-793-9160
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Provider Business Mailing Address
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Address Line | 12137 86TH RD N
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City | WEST PALM BEACH
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State | FL
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Zip | 33412-2658
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Country | US
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Telephone | 561-784-4920
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. TANIA SMITH-COHEN
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Credential | RN
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Telephone | 954-675-2921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL 11628
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License Number State | FL
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