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General NPI Number Information
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NPI Number | 1114037629
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Entity Type | Organization
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Legal Business Name | MICHAEL J. COHEN, M.D., P.C.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1109 MEDICAL CENTER DR SUITE 8B
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City | AUGUSTA
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State | GA
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Zip | 30909-6633
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Country | US
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Telephone | 706-860-9210
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Fax | 706-860-8911
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Provider Business Mailing Address
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Address Line | 1109 MEDICAL CENTER DR SUITE 8B
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City | AUGUSTA
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State | GA
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Zip | 30909-6633
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Country | US
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Telephone | 706-860-9210
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Fax | 706-860-8911
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL JOSEPH COHEN
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Credential | M.D.
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Telephone | 706-860-9210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 19499
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License Number State | GA
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