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General NPI Number Information
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NPI Number | 1376670273
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Entity Type | Individual
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Provider Name | DR. ROGER A KOHN
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 11/12/2010
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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 | 525 E MICHELTORENA ST SUITE 201
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City | SANTA BARBARA
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State | CA
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Zip | 93103-2254
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Country | US
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Telephone | 805-682-9274
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Fax | 805-962-4716
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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 | 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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