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General NPI Number Information
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NPI Number | 1518135227
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Entity Type | Organization
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Legal Business Name | MARJORIE A COHEN OD LLC
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 38 VANDERBILT AVE
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City | NORWOOD
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State | MA
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Zip | 02062-5159
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Country | US
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Telephone | 781-769-9955
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Fax | 781-769-2199
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Provider Business Mailing Address
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Address Line | 38 VANDERBILT AVE
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City | NORWOOD
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State | MA
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Zip | 02062-5159
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Country | US
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Telephone | 508-837-3790
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Fax | 781-769-2199
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. MARJORIE ANN COHEN
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Credential | OD
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Telephone | 508-837-3790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3210
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License Number State | MA
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