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Michael S Cohn

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NPI Number Detailed Information

Provider Information:

Name: Michael S Cohn
Gender: M
Provider License Number If Given: 42.001291

NPI Information:

NPI: 1528067063
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 8/1/2014

Provider Business Mailing Address:

Address: PO BOX 547 ATT: CVMC FINANCE DEPT
Barre, VT 05641
Phone Number: 8023714820
Fax Number: 8023714855

Provider Business Practice Location Address:

Address: 130 FISHER RD MOB-C, STE 1
Berlin, VT 05602
Phone Number: 8023714820
Fax Number: 8023714855

Provider Taxonomy:

Primary: 208800000X
Secondary (if any): 208800000X
State: VT

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