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General NPI Number Information
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NPI Number | 1457543548
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Entity Type | Individual
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Provider Name | ABRAHAM COHEN D.D.S,INC
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Gender | Male
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 1450 10TH ST SUITE 400
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City | SANTA MONICA
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State | CA
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Zip | 90401-2857
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Country | US
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Telephone | 310-656-4000
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Fax | 310-319-2025
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Provider Business Mailing Address
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Address Line | 1450 10TH ST SUITE 400
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City | SANTA MONICA
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State | CA
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Zip | 90401-2857
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Country | US
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Telephone | 310-656-4000
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Fax | 310-319-2025
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 51170
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License Number State | CA
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