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General NPI Number Information
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NPI Number | 1013190248
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Entity Type | Organization
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Legal Business Name | HART C.M. COHEN
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 8635 W 3RD ST 450W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6101
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Country | US
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Telephone | 310-652-5954
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Fax | 310-652-7570
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Provider Business Mailing Address
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Address Line | 8635 W 3RD ST 450W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6101
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Country | US
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Telephone | 310-652-5954
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Fax | 310-652-7570
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Authorized Official
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Title or Position | SECRETARY
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Name | GLORIA MARTIR
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Credential |
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Telephone | 310-659-7691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G63878
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License Number State | CA
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