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General NPI Number Information
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NPI Number | 1750503363
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Entity Type | Organization
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Legal Business Name | BENJAMIN N COHEN PHD PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 1501 S PINELLAS AVE SUITE Q
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-1955
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Country | US
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Telephone | 727-271-3112
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 1546
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-1546
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Country | US
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Telephone | 727-271-3112
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. BENJAMIN N. COHEN
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Credential | PH.D.
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Telephone | 727-271-3112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY7056
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License Number State | FL
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