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General NPI Number Information
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NPI Number | 1851149587
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Entity Type | Individual
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Provider Name | MATTHEW BENJAMIN COHEN
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Gender | Male
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Dates
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Enumeration Date | 05/08/2024
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Last Update Date | 05/18/2025
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Provider Practice Location Address
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Address Line | 442 LORIMER ST STE D
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City | BROOKLYN
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State | NY
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Zip | 11206-1030
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Country | US
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Telephone | 408-658-9432
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 GREENE AVE APT 1A
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City | BROOKLYN
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State | NY
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Zip | 11221-8277
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Country | US
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Telephone | 908-507-3400
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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