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General NPI Number Information
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NPI Number | 1619569308
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Entity Type | Organization
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Legal Business Name | PAUL COHEN GASTROENTEROLOGY, P.C.
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 1336 UTICA AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-5912
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Country | US
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Telephone | 718-221-0415
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Fax |
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Provider Business Mailing Address
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Address Line | 72 KINGS WALK
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-3906
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | PAUL COHEN
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Credential | MD
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Telephone | 718-221-0415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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