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General NPI Number Information
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NPI Number | 1326381591
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Entity Type | Organization
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Legal Business Name | ROGER KOHN MD INC.
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Dates
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Enumeration Date | 04/05/2013
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 2920 F ST SUITE C-17
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1845
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Country | US
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Telephone | 661-322-5435
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Fax | 661-322-4304
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Provider Business Mailing Address
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Address Line | 1009 LAS PALMAS DR
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City | SANTA BARBARA
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State | CA
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Zip | 93110-2112
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Country | US
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Telephone | 805-682-9274
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Fax | 661-322-4304
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROGER KOHN
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Credential | M.D.
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Telephone | 805-682-9274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G31087
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License Number State | CA
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