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General NPI Number Information
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NPI Number | 1235804923
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Entity Type | Individual
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Provider Name | KAHLIL MARCUS COHENS
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Gender | Male
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 3933 HARRISON ST
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City | RIVERSIDE
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State | CA
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Zip | 92503-3523
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Country | US
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Telephone | 833-391-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 8945 GOLF LINKS RD
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City | OAKLAND
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State | CA
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Zip | 94605-4124
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Country | US
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Telephone | 510-317-1444
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 109559
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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