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General NPI Number Information
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NPI Number | 1891953220
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Entity Type | Organization
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Legal Business Name | ELLEN COHEN
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 60 S MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-3542
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Country | US
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Telephone | 845-634-6207
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Fax |
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Provider Business Mailing Address
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Address Line | 60 S MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-3542
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Country | US
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Telephone | 845-634-6207
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Fax |
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Authorized Official
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Title or Position | SOLO PRACTIONER
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Name | MS. ELLEN S COHEN
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Credential | C.S.W.
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Telephone | 845-634-6207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 27800
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License Number State | NY
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