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General NPI Number Information
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NPI Number | 1891145215
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Entity Type | Organization
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Legal Business Name | PAULA KOREN, LICSW LLC
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 233 HARVARD ST. SUITE# 36
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City | BROOKLINE
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State | MA
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Zip | 02446
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Country | US
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Telephone | 617-992-8622
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Fax | 617-232-4145
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Provider Business Mailing Address
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Address Line | 233 HARVARD ST. SUITE# 36
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City | BROOKLINE
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State | MA
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Zip | 02446
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Country | US
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Telephone | 617-992-8622
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Fax | 617-232-4145
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Authorized Official
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Title or Position | LICSW
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Name | PAULA KOREN
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Credential |
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Telephone | 617-992-8622
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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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