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General NPI Number Information
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NPI Number | 1871699652
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Entity Type | Individual
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Provider Name | SCOTT D COHEN MD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 950 S MAIN ST STE 10
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City | CELINA
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State | OH
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Zip | 45822-2475
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Country | US
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Telephone | 419-586-6899
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Fax | 419-856-6799
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Provider Business Mailing Address
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Address Line | 950 S MAIN ST STE 10
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City | CELINA
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State | OH
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Zip | 45822-2475
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Country | US
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Telephone | 419-586-6899
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Fax | 419-586-6799
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 23460
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 01080881A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 35091926
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License Number State | OH
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