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General NPI Number Information
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NPI Number | 1568682581
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Entity Type | Individual
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Provider Name | VALLI COHEN M.S.N.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | PASADENA CITY COLLEGE - STUDENT HEALTH SERVICES 1570 E COLORADO BLVD D105
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City | PASADENA
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State | CA
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Zip | 91106
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Country | US
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Telephone | 626-585-7244
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Fax | 626-585-7388
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Provider Business Mailing Address
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Address Line | 12 E LAKE SHORE TRL
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City | GLASTONBURY
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State | CT
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Zip | 06033-4008
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Country | US
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Telephone | 860-633-4047
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 000039
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License Number State | CT
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