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General NPI Number Information
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NPI Number | 1710257654
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Entity Type | Individual
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Provider Name | BRITTANY ELIZABETH CORCORAN LPCC
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Gender | Female
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 3490 S DIXIE DR SUITE 210
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City | MORAINE
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State | OH
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Zip | 45439-2324
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Country | US
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Telephone | 937-689-2958
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Fax |
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Provider Business Mailing Address
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Address Line | 227 W WALNUT ST
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City | TIPP CITY
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State | OH
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Zip | 45371-1851
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Country | US
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Telephone | 937-689-2958
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.1000342
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License Number State | OH
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