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General NPI Number Information
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NPI Number | 1992939862
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Entity Type | Individual
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Provider Name | ALEX PERRY CORKOS L.M.F.T.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 4150 WASHINGTON RD SUITE 2
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City | MC MURRAY
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State | PA
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Zip | 15317-2534
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Country | US
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Telephone | 412-567-3930
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Fax |
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Provider Business Mailing Address
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Address Line | 106 RIDGEVIEW DR
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City | VENETIA
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State | PA
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Zip | 15367-1223
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Country | US
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Telephone | 412-567-3930
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF000365
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC25400
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License Number State | CA
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