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General NPI Number Information
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NPI Number | 1558468132
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Entity Type | Individual
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Provider Name | HENRY COHEN OD
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Gender | Male
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 51 WASHINGTON ST
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City | BRIGHTON
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State | MA
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Zip | 02135-7448
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Country | US
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Telephone | 617-566-7407
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 WORCESTER RD 225
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City | FRAMINGHAM
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State | MA
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Zip | 01702-8968
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Country | US
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Telephone | 508-872-5460
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 15200000X
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License Number State | MA
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