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General NPI Number Information
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NPI Number | 1578636486
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Entity Type | Organization
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Legal Business Name | MARTIN V COHEN PSYCHOLOGICAL COUNSELING CORP
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE SUITE 307
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City | LOS ANGELES
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State | CA
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Zip | 90025
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Country | US
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Telephone | 310-478-5888
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Fax | 310-478-1101
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Provider Business Mailing Address
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Address Line | 2001 S BARRINGTON AVE SUITE 307
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City | LOS ANGELES
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State | CA
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Zip | 90025
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Country | US
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Telephone | 310-478-5888
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Fax | 310-478-1101
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Authorized Official
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Title or Position | PSYCHOLOGIST PRESIDENT OF CORP
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Name | MARTIN V COHEN
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Credential | PHD
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Telephone | 310-478-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC8175
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY21166
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License Number State | CA
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