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General NPI Number Information
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NPI Number | 1457963282
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Entity Type | Organization
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Legal Business Name | COHEN & GOEL, A PROF DENTAL CORP
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 11005 FIRESTONE BLVD
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City | NORWALK
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State | CA
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Zip | 90650-2224
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Country | US
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Telephone | 562-863-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 11005 FIRESTONE BLVD
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City | NORWALK
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State | CA
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Zip | 90650-2224
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Country | US
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Telephone | 562-863-8888
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN COHEN
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Credential |
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Telephone | 310-749-8013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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