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General NPI Number Information
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NPI Number | 1922446160
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Entity Type | Individual
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Provider Name | JANICE KORN LCSW, MSW, MA
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Gender | Female
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 770 WOODLANE RD
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City | WESTAMPTON
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State | NJ
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Zip | 08060-3804
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Country | US
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Telephone | 201-206-5981
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Fax |
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Provider Business Mailing Address
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Address Line | 770 WOODLANE RD
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City | WESTAMPTON
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State | NJ
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Zip | 08060-3804
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Country | US
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Telephone | 201-206-5981
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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 | 44SC05643500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 932909
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License Number State | NJ
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