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General NPI Number Information
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NPI Number | 1306387246
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Entity Type | Organization
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Legal Business Name | CAROLYN GORSKI, LLC
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Dates
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Enumeration Date | 03/11/2017
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Last Update Date | 03/11/2017
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Provider Practice Location Address
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Address Line | 2657 THISTLE RD
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City | MACUNGIE
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State | PA
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Zip | 18062-8403
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Country | US
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Telephone | 484-240-4383
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Fax |
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Provider Business Mailing Address
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Address Line | 2657 THISTLE RD
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City | MACUNGIE
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State | PA
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Zip | 18062-8403
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLYN GORSKI
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Credential |
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Telephone | 610-462-1438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 007641
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License Number State | PA
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