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General NPI Number Information
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NPI Number | 1801966155
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Entity Type | Individual
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Provider Name | MICHELL ANNETTE COHN D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 12324 SAINT ANDREWS DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8604
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Country | US
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Telephone | 405-607-1333
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Fax | 405-607-1330
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Provider Business Mailing Address
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Address Line | 14709 LAMPLIGHT LN
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City | EDMOND
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State | OK
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Zip | 73013-1591
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Country | US
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Telephone | 405-922-1054
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Fax | 405-692-2064
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 3843
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License Number State | OK
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