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General NPI Number Information
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NPI Number | 1730217688
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Entity Type | Individual
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Provider Name | STEVEN ALLAN KORN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 155 MONTGOMERY ST SUITE 508
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-4105
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Country | US
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Telephone | 415-989-2039
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Fax |
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Provider Business Mailing Address
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Address Line | 47 ARBONA CIR S
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City | SONORA
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State | CA
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Zip | 95370-8056
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Country | US
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Telephone | 415-989-2039
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Fax | 415-318-4710
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 8836
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License Number State | CA
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