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General NPI Number Information
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NPI Number | 1538703772
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Entity Type | Organization
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Legal Business Name | SARASOTA OB GYN ASSOCIATES, PA
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Dates
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Enumeration Date | 10/31/2019
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 2439 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34239-6304
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Country | US
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Telephone | 941-953-5022
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Fax | 941-378-9120
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Provider Business Mailing Address
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Address Line | 2439 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34239-6304
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Country | US
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Telephone | 941-953-5022
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Fax | 941-378-9120
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Authorized Official
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Title or Position | OWNER
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Name | DR. WAYNE A COHEN
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Credential | MD
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Telephone | 941-953-5022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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