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General NPI Number Information
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NPI Number | 1437986171
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Entity Type | Individual
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Provider Name | SYDNEY ALYSSA COHEN
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Gender | Female
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Dates
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Enumeration Date | 09/17/2024
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 26401 CROWN VALLEY PKWY STE 101
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6302
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Country | US
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Telephone | 949-348-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 22906 WALNUT
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City | MISSION VIEJO
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State | CA
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Zip | 92692-4746
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Country | US
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Telephone | 949-395-5486
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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