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General NPI Number Information
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NPI Number | 1396307781
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Entity Type | Organization
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Legal Business Name | KATHLEEN M. CORKERY
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 07/05/2019
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Provider Practice Location Address
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Address Line | 201 RIVERWAY PL
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City | BEDFORD
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State | NH
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Zip | 03110-6763
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Country | US
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Telephone | 603-714-8623
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CANTERBURY LN
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City | BEDFORD
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State | NH
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Zip | 03110-4435
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Country | US
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Telephone | 603-714-8623
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN CORKERY
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Credential |
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Telephone | 603-714-8623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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