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General NPI Number Information
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NPI Number | 1295848034
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Entity Type | Individual
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Provider Name | STEFAN B. COHEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 916 SAN PABLO AVE UNIT A
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City | ALBANY
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State | CA
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Zip | 94706-2059
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Country | US
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Telephone | 510-528-5216
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Fax | 510-528-5256
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Provider Business Mailing Address
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Address Line | 1541 CEDAR ST
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City | BERKELEY
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State | CA
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Zip | 94703-1056
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Country | US
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Telephone | 510-528-3028
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC26543
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License Number State | CA
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