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Individual
DR. KIMBERLY COHEN
Active
Individual
DR. KIMBERLY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005925-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14603
STATE BOARD
CA
01
—
1574
LICENSE
AZ
01
—
OPC 3192
LICENSE
FL
Enumeration date
11/29/2006
Last updated
02/08/2015
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