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General NPI Number Information
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NPI Number | 1225281231
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Entity Type | Individual
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Provider Name | BARRY JAY COHEN PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 27220 HEATHER RIDGE RD
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-3418
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Country | US
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Telephone | 949-389-8702
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Fax |
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Provider Business Mailing Address
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Address Line | 21 SAINT PAUL LN
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-9374
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Country | US
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Telephone | 949-496-6766
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Fax | 949-248-1999
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26233
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License Number State | CA
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