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General NPI Number Information
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NPI Number | 1780673491
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Entity Type | Individual
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Provider Name | FELICIA KORMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 5530 OAK BRANCH DR
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City | ARLINGTON
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State | TX
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Zip | 76016-4538
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Country | US
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Telephone | 817-563-4949
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Fax | 817-563-4941
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Provider Business Mailing Address
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Address Line | 4101 W GREEN OAKS BLVD STE 305
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City | ARLINGTON
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State | TX
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Zip | 76016-6800
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Country | US
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Telephone | 817-563-4949
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Fax | 817-556-4941
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 03961
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License Number State | TX
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