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General NPI Number Information
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NPI Number | 1639580798
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Entity Type | Individual
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Provider Name | JENNIFER RENEE COBEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 8851 ELLSTREE LN STE 200
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City | RALEIGH
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State | NC
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Zip | 27617-2046
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Country | US
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Telephone | 919-282-1100
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Fax | 919-282-1119
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Provider Business Mailing Address
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Address Line | PO BOX 117636
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City | ATLANTA
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State | GA
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Zip | 30368-7636
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Country | US
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Telephone | 888-856-1878
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Fax | 941-484-2200
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 80059
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD467062
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 00142
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License Number State | NC
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