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General NPI Number Information
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NPI Number | 1407869712
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Entity Type | Individual
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Provider Name | EVELYN COHEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6000 WESR HIGHWAY 98
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City | PENSACOLA
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State | FL
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Zip | 32512-0008
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Country | US
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Telephone | 850-505-6463
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Fax | 850-505-6527
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Provider Business Mailing Address
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Address Line | 972 CANDLESTICK CT
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City | PENSACOLA
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State | FL
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Zip | 32514-1549
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Country | US
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Telephone | 850-505-6463
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Fax | 850-477-3296
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | 4311
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License Number State | AL
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