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General NPI Number Information
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NPI Number | 1639293285
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Entity Type | Organization
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Legal Business Name | STANELY G. COHEN,M.D & WILLIAM R. SLOAN,M.D. A MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 12582 GARDEN GROVE BLVD
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1907
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Country | US
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Telephone | 714-534-0744
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Fax |
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Provider Business Mailing Address
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Address Line | 12582 GARDEN GROVE BLVD
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1907
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Country | US
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Telephone | 714-534-0744
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STANLEY GORDON COHEN
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Credential | M.D.
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Telephone | 714-534-0744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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