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General NPI Number Information
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NPI Number | 1790226884
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Entity Type | Organization
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Legal Business Name | ROBERT L. COHEN, D.D.S A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 4333 WOODMAN AVE
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3030
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Country | US
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Telephone | 818-990-7260
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Fax | 818-990-1643
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Provider Business Mailing Address
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Address Line | 4333 WOODMAN AVE
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3030
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Country | US
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Telephone | 818-990-7260
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Fax | 818-990-1643
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ROBERT LAWRENCE COHEN
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Credential | DDS
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Telephone | 818-990-7260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 26972
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License Number State | CA
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