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General NPI Number Information
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NPI Number | 1013077783
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Entity Type | Individual
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Provider Name | ANDREA S. CORN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 150 E. PALMETTO PARK RD. 8TH FLOOR EXECUTIVE SUITES
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City | BOCA RATON
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State | FL
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Zip | 33432
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Country | US
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Telephone | 954-942-3344
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Fax | 954-943-9300
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Provider Business Mailing Address
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Address Line | 550 S. OCEAN BLVD #2004
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City | BOCA RATON
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State | FL
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Zip | 33432
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Country | US
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Telephone | 954-942-3344
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Fax | 954-943-9300
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY5442
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License Number State | FL
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