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General NPI Number Information
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NPI Number | 1982956777
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Entity Type | Organization
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Legal Business Name | STEPHEN M. COHEN OD, P.C.
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Dates
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Enumeration Date | 10/04/2012
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 10900 N SCOTTSDALE RD STE 301
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5230
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Country | US
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Telephone | 480-513-3937
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Fax | 480-367-6711
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Provider Business Mailing Address
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Address Line | 10900 N SCOTTSDALE RD STE 301
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5230
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Country | US
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Telephone | 480-513-3937
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Fax | 480-367-6711
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN MITCHELL COHEN
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Credential | OD
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Telephone | 480-513-3937
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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 | 675
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License Number State | AZ
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