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General NPI Number Information
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NPI Number | 1720241656
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Entity Type | Individual
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Provider Name | CARMEN R COHEN PT
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 19115 NE 18TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4214
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Country | US
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Telephone | 305-932-3563
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Fax |
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Provider Business Mailing Address
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Address Line | 19115 NE 18TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4214
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Country | US
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Telephone | 305-932-3563
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 528
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License Number State | FL
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