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General NPI Number Information
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NPI Number | 1558986745
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Entity Type | Individual
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Provider Name | ANTHONY COHN MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 1831 CAMINO DEL LLANO
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City | BELEN
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State | NM
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Zip | 87002-2619
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Country | US
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Telephone | 505-864-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 6915 BOCA NEGRA PL NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-1402
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Country | US
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Telephone | 575-956-5210
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RS2020-0499
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RS2020-0499
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD2024-0676
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License Number State | NM
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