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General NPI Number Information
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NPI Number | 1639064264
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Entity Type | Organization
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Legal Business Name | COGNOA, INC.
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 5000 CAMPUS DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2122
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Country | US
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Telephone | 650-785-2624
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 CAMPUS DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2122
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Country | US
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Telephone | 650-785-2624
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHARIEF TARAMAN
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Credential |
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Telephone | 650-785-2624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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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 | 2083C0008X
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Taxonomy Name | Clinical Informatics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0008X
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Taxonomy Name | Pediatric Neurodevelopmental Disabilities Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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