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General NPI Number Information
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NPI Number | 1841955291
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Entity Type | Individual
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Provider Name | MAGDALEN CORY
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Gender | Female
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 204 E MARKET ST # A
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City | LOUISVILLE
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State | KY
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Zip | 40202-1218
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Country | US
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Telephone | 502-588-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 S 3RD ST.
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City | LOUISVILLE
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State | KY
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Zip | 40292
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Country | US
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Telephone | 502-354-3416
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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