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General NPI Number Information
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NPI Number | 1821329251
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Entity Type | Individual
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Provider Name | SARAH R COHN PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 223 HARRISON AVE
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City | LEADVILLE
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State | CO
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Zip | 80461
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Country | US
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Telephone | 719-293-7199
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Fax | 855-861-6548
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Provider Business Mailing Address
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Address Line | 223 HARRISON AVE
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City | LEADVILLE
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State | CO
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Zip | 80461
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Country | US
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Telephone | 719-293-7199
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Fax | 855-861-6548
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 002375
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2985
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License Number State | CO
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