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General NPI Number Information
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NPI Number | 1780019844
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Entity Type | Organization
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Legal Business Name | DANIEL COHEN, DDS, PC
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 216 ENGLE ST SUITE 204
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2444
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Country | US
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Telephone | 201-569-5437
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Fax | 201-567-8613
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Provider Business Mailing Address
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Address Line | 216 ENGLE ST SUITE 204
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2444
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Country | US
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Telephone | 201-569-5437
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Fax | 201-567-8613
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Authorized Official
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Title or Position | OWNER PEDIATRIC DENTIST
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Name | DR. DANIEL B COHEN
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Credential | D.D.S.
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Telephone | 201-569-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 21207
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License Number State | NJ
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