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General NPI Number Information
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NPI Number | 1518633494
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Entity Type | Organization
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Legal Business Name | COHEN, CHEN, HANNA CHIROPRACTIC AND ACUPUNCTURE, INC
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 968 N GRAND AVE
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City | COVINA
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State | CA
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Zip | 91724-2045
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Country | US
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Telephone | 626-838-3868
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Fax | 714-839-8145
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Provider Business Mailing Address
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Address Line | 968 N GRAND AVE
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City | COVINA
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State | CA
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Zip | 91724-2045
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Country | US
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Telephone | 626-838-3868
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Fax | 714-839-8145
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Authorized Official
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Title or Position | CEO
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Name | DR. JORDAN BERNARD COHEN
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Credential | DC
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Telephone | 626-838-3868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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