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General NPI Number Information
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NPI Number | 1699804609
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Entity Type | Individual
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Provider Name | JOSEPH SAMUEL COHEN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 160 BROADWAY SUITE 900 EAST
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City | NEW YORK
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State | NY
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Zip | 10038-4201
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Country | US
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Telephone | 212-252-3332
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Fax |
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Provider Business Mailing Address
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Address Line | 420 W 24TH ST APT. 5D
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City | NEW YORK
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State | NY
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Zip | 10011-1325
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Country | US
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Telephone | 646-265-3079
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 013495
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License Number State | NY
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