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General NPI Number Information
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NPI Number | 1649254780
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Entity Type | Individual
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Provider Name | STEPHEN A COHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 1396 N WILMOT RD
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City | TUCSON
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State | AZ
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Zip | 85712
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Country | US
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Telephone | 520-324-2160
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Fax | 520-324-1460
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Provider Business Mailing Address
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Address Line | 3741 E CALLE DEL CACTO
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City | TUCSON
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State | AZ
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Zip | 85718-3341
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Country | US
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Telephone | 520-909-8802
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Fax | 520-881-1842
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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 | 28706
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License Number State | AZ
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