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General NPI Number Information
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NPI Number | 1780332759
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Entity Type | Individual
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Provider Name | CORRIN JENNIFER CORBIN MA
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Gender | Female
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Dates
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Enumeration Date | 03/17/2022
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 907 WEST ST STE 218
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City | PITTSBURGH
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State | PA
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Zip | 15221-2838
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Country | US
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Telephone | 412-407-3332
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Fax | 412-612-2618
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Provider Business Mailing Address
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Address Line | 250 JEFFERSON DR APT 306
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City | MC KEES ROCKS
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State | PA
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Zip | 15136-3713
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Country | US
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Telephone | 412-600-7654
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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