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General NPI Number Information
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NPI Number | 1508312190
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Entity Type | Organization
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Legal Business Name | LYDIA J COHAN MD PC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 1800 E VAN BUREN ST
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City | PHOENIX
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State | AZ
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Zip | 85006-3742
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Country | US
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Telephone | 602-251-8500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14631
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City | SCOTTSDALE
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State | AZ
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Zip | 85267-4631
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Country | US
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Telephone | 928-649-1971
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Fax | 520-448-0728
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Authorized Official
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Title or Position | PRESIDENT
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Name | LYDIA J COHAN
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Credential | MD
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Telephone | 928-649-1971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20724
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 20724
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License Number State | AZ
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