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General NPI Number Information
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NPI Number | 1275410979
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Entity Type | Individual
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Provider Name | CORETTE MARIE GARDNER LSW
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2205 STATE ST
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City | PEKIN
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State | IL
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Zip | 61554-3936
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Country | US
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Telephone | 309-648-0782
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Fax |
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Provider Business Mailing Address
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Address Line | 1017 S MERCER AVE APT 328
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City | BLOOMINGTON
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State | IL
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Zip | 61701-7183
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Country | US
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Telephone | 828-269-8330
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LM19322
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.117490
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License Number State | IL
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