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General NPI Number Information
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NPI Number | 1770671323
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Entity Type | Individual
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Provider Name | DOUGLAS H COHEN DPM
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 8614 E STATE ROAD 70 SUITE 200
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City | BRADENTON
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State | FL
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Zip | 34202-3710
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Country | US
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Telephone | 941-408-5517
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 S OCEAN BLVD SUITE 12G
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City | BOCA RATON
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State | FL
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Zip | 33432-8535
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Country | US
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Telephone |
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO2667
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License Number State | FL
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