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General NPI Number Information
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NPI Number | 1922443324
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Entity Type | Organization
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Legal Business Name | COHEN DERMATOPATHOLOGY, PC
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 5850 WATERLOO RD STE 140
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City | COLUMBIA
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State | MD
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Zip | 21045
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Country | US
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Telephone | 410-766-4175
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 S FREEPORT PKWY ATTN: PROVIDER ENROLLMENT
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City | COPPELL
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State | TX
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Zip | 75019-4435
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Country | US
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Telephone | 866-588-3280
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Fax | 972-767-0225
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARASH RADFAR
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Credential | MD
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Telephone | 617-960-6010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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