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General NPI Number Information
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NPI Number | 1710903067
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Entity Type | Individual
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Provider Name | JACOB L COHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2 LINCOLN AVE SUITE 201
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-5775
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Country | US
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Telephone | 516-536-0600
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Fax | 516-536-0694
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Provider Business Mailing Address
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Address Line | 2 LINCOLN AVE SUITE 201
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-5775
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Country | US
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Telephone | 516-536-0600
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Fax | 516-536-0694
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 089547-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 089547-1
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License Number State | NY
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