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General NPI Number Information
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NPI Number | 1790072312
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Entity Type | Organization
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Legal Business Name | DANIEL D. COHEN MD PA
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Dates
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Enumeration Date | 07/04/2011
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 315 N LAKEMONT AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-3205
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Country | US
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Telephone | 407-622-2030
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Fax | 407-622-2033
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Provider Business Mailing Address
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Address Line | PO BOX 940459
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City | MAITLAND
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State | FL
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Zip | 32794-0459
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Country | US
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Telephone | 407-622-2030
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Fax | 407-622-2033
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DANIEL D COHEN-NEAMIE
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Credential | MD
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Telephone | 407-622-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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