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General NPI Number Information
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NPI Number | 1558082941
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Entity Type | Organization
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Legal Business Name | EYAL COHEN LLC
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 2900 W SAMPLE RD # 3511
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City | POMPANO BEACH
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State | FL
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Zip | 33073-3024
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Country | US
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Telephone | 800-955-5527
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Fax |
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Provider Business Mailing Address
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Address Line | 102 NW SPANISH RIVER BLVD OFC
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City | BOCA RATON
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State | FL
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Zip | 33431-4213
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Country | US
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Telephone | 954-856-9630
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Fax |
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Authorized Official
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Title or Position | OWNER / MANAGER
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Name | EYAL COHEN
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Credential |
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Telephone | 954-856-9630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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