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NPI Code Detail

MEDICARE: DEBRA J COHEN

MEDICARE:   DEBRA J COHEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW 5407FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AD261ROTHERFLMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952460040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA J COHEN
Provider Business Mailing Address
First Line : 3269 COCOPLUM CIR
Second Line :
City : COCONUT CREEK
State : FL
Zip : 33063-5908
Country : US
Telephone Number : 954-972-7095
Fax Number :
Provider Business Practice Location Address
First Line : 7481 W OAKLAND PARK BLVD
Second Line : STE 100
City : TAMARAC
State : FL
Zip : 33319-4985
Country : US
Telephone Number : 888-852-6672
Fax Number : 305-891-4228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 11/05/2013

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