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General NPI Number Information
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NPI Number | 1093528663
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Entity Type | Individual
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Provider Name | SANDRA IVETTE ROCAFORT LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 3607 ALT 19
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City | PALM HARBOR
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State | FL
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Zip | 34683-1412
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Country | US
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Telephone | 172-773-2430
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Fax |
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Provider Business Mailing Address
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Address Line | 1604 STIPULE CT
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City | TRINITY
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State | FL
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Zip | 34655-5345
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Country | US
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Telephone | 727-534-4380
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH24987
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License Number State | FL
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