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General NPI Number Information
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NPI Number | 1720674880
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Entity Type | Organization
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Legal Business Name | COHEN FASHION OPTICAL LLC
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 2933 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10025-7801
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Country | US
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Telephone | 212-662-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 2933 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10025-7801
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Country | US
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Telephone | 212-662-0400
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARY OSHEA
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Credential |
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Telephone | 646-413-4186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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