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General NPI Number Information
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NPI Number | 1639890148
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Entity Type | Individual
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Provider Name | MICHAEL COHEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 1025A 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10065-8501
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Country | US
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Telephone | 212-230-1700
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Fax | 212-230-1100
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Provider Business Mailing Address
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Address Line | 1716 E 18TH ST APT 3
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City | BROOKLYN
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State | NY
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Zip | 11229-2128
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Country | US
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Telephone | 718-916-2986
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 069266
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License Number State | NY
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