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General NPI Number Information
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NPI Number | 1871516658
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Entity Type | Individual
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Provider Name | ERIC J COHEN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2251 GRANT RD STE H
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City | LOS ALTOS
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State | CA
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Zip | 94024-6958
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Country | US
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Telephone | 650-965-2127
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Fax | 650-938-1519
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Provider Business Mailing Address
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Address Line | 2251 GRANT RD STE H
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City | LOS ALTOS
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State | CA
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Zip | 94024-6958
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Country | US
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Telephone | 650-965-2127
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Fax | 650-938-1519
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY7672
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License Number State | CA
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