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NPI 1184955767

NPI 1184955767 : DAVID COHEN M.D. : LA JOLLA, CA

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General NPI Number Information
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    NPI Number           |    1184955767
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID COHEN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/21/2010
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    Last Update Date     |    11/17/2021
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Provider Practice Location Address
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    Address Line         |    9850 GENESEE AVE STE 940 
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    City                 |    LA JOLLA
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    State                |    CA
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    Zip                  |    92037-1220
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    Country              |    US
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    Telephone            |    858-658-0020
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    Fax                  |    858-457-8653
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Provider Business Mailing Address
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    Address Line         |    9850 GENESEE AVE STE 940 
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    City                 |    LA JOLLA
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    State                |    CA
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    Zip                  |    92037-1220
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    Country              |    US
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    Telephone            |    858-658-0020
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    Fax                  |    858-658-0084
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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       |    A110351
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207RC0001X
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    Taxonomy Name        |    Clinical Cardiac Electrophysiology Physician
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    License Number       |    A110351
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    License Number State |    CA
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