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General NPI Number Information
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NPI Number | 1982633665
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Entity Type | Individual
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Provider Name | GREGORY B. COHANE D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 15250 S TAMIAMI TRL REGAL PLAZA
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City | FORT MYERS
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State | FL
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Zip | 33908-7222
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Country | US
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Telephone | 239-489-4400
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Fax | 239-489-4840
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Provider Business Mailing Address
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Address Line | 12630 EAGLE POINTE CIR
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City | FORT MYERS
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State | FL
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Zip | 33913-7920
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Country | US
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Telephone | 239-910-0990
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Fax | 239-489-4840
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0006603
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License Number State | FL
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