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General NPI Number Information
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NPI Number | 1437348653
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Entity Type | Organization
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Legal Business Name | SUSAN COHEN PT
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 21 PHEASANT RUN RD
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2512
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Country | US
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Telephone | 914-769-0756
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Fax |
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Provider Business Mailing Address
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Address Line | 21 PHEASANT RUN RD
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2512
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Country | US
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Telephone | 914-769-0756
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SUSAN COHEN
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Credential | P.T.
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Telephone | 914-769-0756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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