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General NPI Number Information
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NPI Number | 1114043239
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Entity Type | Individual
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Provider Name | JENNIFER NEUFELD COHEN DPT
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 1732 1ST ST
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3202
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Country | US
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Telephone | 617-413-9407
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Fax |
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Provider Business Mailing Address
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Address Line | 8906 LINCOLNWOOD DR
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City | EVANSTON
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State | IL
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Zip | 60203-1810
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Country | US
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Telephone | 617-413-9407
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 17846
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License Number State | MA
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