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General NPI Number Information
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NPI Number | 1629148143
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Entity Type | Individual
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Provider Name | PETER ANSON COHEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2117 W. 8TH ST.
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City | ERIE
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State | PA
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Zip | 16505
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Country | US
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Telephone | 814-454-4228
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Fax | 814-452-4031
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Provider Business Mailing Address
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Address Line | 1903 W 8TH ST # 299
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City | ERIE
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State | PA
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Zip | 16505-4936
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Country | US
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Telephone | 814-454-4228
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Fax | 814-452-4031
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC005748L
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License Number State | PA
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