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General NPI Number Information
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NPI Number | 1740456482
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Entity Type | Organization
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Legal Business Name | SCOTT A. COHEN M D
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 6655 TRAVIS ST SUITE 840
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City | HOUSTON
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State | TX
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Zip | 77030-1312
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Country | US
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Telephone | 281-362-0001
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Fax | 281-362-7995
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Provider Business Mailing Address
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Address Line | 6655 TRAVIS ST SUITE 840
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City | HOUSTON
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State | TX
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Zip | 77030-1312
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Country | US
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Telephone | 281-362-0001
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Fax | 281-362-7995
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT A COHEN
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Credential | M D
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Telephone | 281-362-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | H4243
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License Number State | TX
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