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General NPI Number Information
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NPI Number | 1154530665
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Entity Type | Organization
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Legal Business Name | JACK COHN D.D.S.,P.A.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8970 SW 87TH CT STE 22
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City | MIAMI
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State | FL
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Zip | 33176-2207
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Country | US
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Telephone | 305-598-1428
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Fax | 305-598-5365
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Provider Business Mailing Address
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Address Line | 8970 SW 87TH CT STE 22
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City | MIAMI
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State | FL
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Zip | 33176-2207
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Country | US
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Telephone | 305-598-1428
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Fax | 305-598-5365
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JACK COHN
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Credential | D.D.S.
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Telephone | 305-598-1428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | FL 6748
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License Number State | FL
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