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General NPI Number Information
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NPI Number | 1295994853
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Entity Type | Individual
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Provider Name | JACOB FRANKLIN COGEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2008
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 22 N FRANKLIN BLVD 2ND FLOOR
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-2547
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Country | US
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Telephone | 215-481-2725
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Fax |
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Provider Business Mailing Address
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Address Line | 22 N FRANKLIN BLVD FIRST FLOOR
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-2547
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Country | US
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Telephone | 609-272-9040
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Fax | 609-272-9055
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MT189723
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA08626400
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License Number State | NJ
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