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General NPI Number Information
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NPI Number | 1740631076
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Entity Type | Organization
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Legal Business Name | LAUREN KORSHAK
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 230 OAK ST 34
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-5841
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Country | US
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Telephone | 310-729-0073
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Fax |
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Provider Business Mailing Address
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Address Line | 230 OAK ST 34
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-5841
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Country | US
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Telephone | 310-729-0073
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. LAUREN KORSHAK
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Credential |
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Telephone | 310-729-0073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 84371
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License Number State | CA
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