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General NPI Number Information
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NPI Number | 1841593902
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Entity Type | Organization
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Legal Business Name | ERIC COHEN
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 6660 SECURITY BLVD
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City | BALTIMORE
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State | MD
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Zip | 21207-4012
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Country | US
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Telephone | 410-944-8020
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Fax | 410-944-5621
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Provider Business Mailing Address
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Address Line | 6660 SECURITY BLVD # D
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City | BALTIMORE
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State | MD
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Zip | 21207-4012
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Country | US
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Telephone | 410-944-8020
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Fax | 410-944-5621
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. GERRY N SCHERR
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Credential | OFFICE MANAGER
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Telephone | 410-944-8020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 660
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License Number State | MD
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