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General NPI Number Information
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NPI Number | 1811307721
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Entity Type | Individual
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Provider Name | ALAN COHEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 2006 154TH ST E
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City | BRADENTON
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State | FL
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Zip | 34212-8151
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Country | US
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Telephone | 941-725-1970
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Fax |
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Provider Business Mailing Address
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Address Line | 2006 154TH STREET EAST
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City | BRADENTON
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State | FL
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Zip | 34212
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 383019
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License Number State | DE
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