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General NPI Number Information
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NPI Number | 1629163308
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Entity Type | Individual
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Provider Name | HARRY B COHEN MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 726 ALLEN AVE STE B
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City | CODY
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State | WY
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Zip | 82414-3442
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Country | US
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Telephone | 307-578-1860
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Fax | 307-587-2364
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Provider Business Mailing Address
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Address Line | PO BOX 773
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City | CODY
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State | WY
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Zip | 82414-0773
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Country | US
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Telephone | 307-578-1871
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Fax | 307-587-2364
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 6726A
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License Number State | WY
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