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General NPI Number Information
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NPI Number | 1881957603
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Entity Type | Individual
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Provider Name | GREGORY DAVID COHN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 44-20 DOUGLASTON PKWY SUITE 1-F
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City | DOUGLASTON
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State | NY
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Zip | 11363-1841
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Country | US
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Telephone | 718-428-2212
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Fax | 718-229-2704
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Provider Business Mailing Address
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Address Line | 44-20 DOUGLASTON PKWY SUITE 1-F
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City | DOUGLASTON
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State | NY
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Zip | 11363-1841
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Country | US
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Telephone | 718-428-2212
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Fax | 718-229-2704
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 040706
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License Number State | NY
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