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General NPI Number Information
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NPI Number | 1194010983
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Entity Type | Individual
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Provider Name | SHARON D COHEN PH.D., LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 200 NEWPORT CENTER DR SUITE 206
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7501
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Country | US
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Telephone | 949-682-9304
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Fax |
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Provider Business Mailing Address
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Address Line | 1048 IRVINE AVE #238
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-4602
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 23901
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License Number State | CA
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