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General NPI Number Information
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NPI Number | 1598939803
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Entity Type | Organization
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Legal Business Name | ISAAC I. COHEN, M.D.,S.C.
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 245 S GARY AVE SUITE 207
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2228
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Country | US
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Telephone | 630-539-2540
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Fax | 630-539-2543
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Provider Business Mailing Address
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Address Line | 245 S GARY AVE SUITE 207
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2228
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Country | US
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Telephone | 630-539-2540
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Fax | 630-539-2543
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Authorized Official
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Title or Position | DOCTOR/PRESIDENT
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Name | DR. ISAAC I COHEN
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Credential | M.D.
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Telephone | 630-539-2540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State | IL
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