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General NPI Number Information
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NPI Number | 1669413076
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Entity Type | Individual
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Provider Name | ILANA HELENE COHEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 02/23/2018
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Provider Practice Location Address
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Address Line | 108 FORBES ST SECOND FLOOR
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1502
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Country | US
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Telephone | 410-571-7880
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Fax | 410-571-0362
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Provider Business Mailing Address
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Address Line | PO BOX 64131
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City | BALTIMORE
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State | MD
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Zip | 21264-4131
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Country | US
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Telephone | 443-481-6480
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Fax | 443-481-6515
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | D64087
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License Number State | MD
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