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General NPI Number Information
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NPI Number | 1689081283
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Entity Type | Organization
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Legal Business Name | PAULA KORIK & ASSOCIATES LLC
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 07/15/2014
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Provider Practice Location Address
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Address Line | 223 OLD HOOK RD 2ND FLOOR
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City | WESTWOOD
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State | NJ
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Zip | 07675-3132
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Country | US
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Telephone | 201-965-9695
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Fax | 201-829-0817
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Provider Business Mailing Address
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Address Line | 78 1ST AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-2131
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Country | US
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Telephone | 201-965-9695
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Fax | 201-829-0817
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Authorized Official
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Title or Position | MEMBER
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Name | MRS. POLINA KORIK
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Credential | M.S. CCC-SLP
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Telephone | 201-965-9695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 41YS00603400
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License Number State | NJ
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