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General NPI Number Information
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NPI Number | 1891329462
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Entity Type | Individual
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Provider Name | NORA KOHRI LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/23/2020
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 18TH MEDICAL GROUP UNIT 5142
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City | APO
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State | AP
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Zip | 96368
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Country | JP
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Telephone | 315-634-0433
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 80 BOX 11394
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City | APO
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State | AP
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Zip | 96367-0016
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Country | US
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Telephone | 315-634-0433
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0001757
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License Number State | DE
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