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General NPI Number Information
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NPI Number | 1578628509
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Entity Type | Organization
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Legal Business Name | WENDY COHEN
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 151 N DEAN ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631
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Country | US
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Telephone | 201-567-5376
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 588
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City | ENGLEWOOD
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State | NJ
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Zip | 07681
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Country | US
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Telephone | 201-567-5376
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WENDY COHEN
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Credential |
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Telephone | 201-567-5376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 32189
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License Number State | NJ
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