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General NPI Number Information
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NPI Number | 1528692928
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Entity Type | Organization
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Legal Business Name | COR COUNSELING LLC
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 612 E COLONIAL DR STE 390
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City | ORLANDO
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State | FL
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Zip | 32803-4650
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Country | US
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Telephone | 321-802-1237
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Fax |
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Provider Business Mailing Address
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Address Line | 612 E COLONIAL DR STE 390
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City | ORLANDO
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State | FL
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Zip | 32803-4650
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Country | US
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Telephone | 321-802-1237
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Fax |
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Authorized Official
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Title or Position | OWNER/REGISTERED AGENT
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Name | SARAH O'HERN
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Credential |
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Telephone | 321-802-1237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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