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1992939862 NPI number — ALEX PERRY CORKOS L.M.F.T.

NPI Number: 1992939862
Health Care Provider/Practitioner: ALEX PERRY CORKOS L.M.F.T.

Information about “1992939862” NPI (ALEX PERRY CORKOS L.M.F.T.) exists in 1992939862 in HTML format HTML  |  1992939862 in plain Text format TXT  |  1992939862 in PDF (Portable Document Format) PDF  |  1992939862 in an XML format XML  formats.

NPI Number : 1992939862 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992939862",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CORKOS",
    "FirstName": "ALEX",
    "MiddleName": "PERRY",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "L.M.F.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "106 RIDGEVIEW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VENETIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15367-1223",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-567-3930",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4150 WASHINGTON RD",
    "SecondLinePracticeLocationAddress": "SUITE 2",
    "PracticeLocationAddressCityName": "MC MURRAY",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15317-2534",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-567-3930",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/07/2009",
    "LastUpdateDate": "05/07/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "MF000365",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "MFC25400",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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