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General NPI Number Information
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NPI Number | 1730653767
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Entity Type | Organization
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Legal Business Name | J L SCHORCH LCSW PSC
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Dates
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Enumeration Date | 01/12/2019
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Last Update Date | 01/12/2019
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Provider Practice Location Address
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Address Line | 1167 E BROADWAY STE 400
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City | LOUISVILLE
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State | KY
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Zip | 40204-1768
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Country | US
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Telephone | 502-821-6309
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Fax |
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Provider Business Mailing Address
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Address Line | 1503 E BRECKINRIDGE ST
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City | LOUISVILLE
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State | KY
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Zip | 40204-1709
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Country | US
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Telephone | 502-821-6309
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | MR. JAMES LOUIS SCHORCH
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Credential |
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Telephone | 502-821-6309
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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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