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General NPI Number Information
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NPI Number | 1558548396
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Entity Type | Organization
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Legal Business Name | JOSEPH I COHEN MD PA DBA CEDAR PARK PEDIATRICS
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 12171 W PARMER LANE STE 201
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City | CEDAR PARK
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State | TX
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Zip | 78613-7376
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Country | US
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Telephone | 512-335-9600
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Fax | 512-335-9696
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Provider Business Mailing Address
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Address Line | 12171 W PARMER LANE STE 201
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City | CEDAR PARK
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State | TX
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Zip | 78613-7376
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Country | US
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Telephone | 512-335-9600
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Fax | 512-335-9696
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | MR. JOSEPH I COHEN
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Credential | MD
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Telephone | 512-335-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L7337
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License Number State | TX
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