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General NPI Number Information
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NPI Number | 1194050997
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Entity Type | Individual
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Provider Name | COKEY YVONNE POWELL PHD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2009
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 3100 UNIVERSITY BLVD S STE 119
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City | JACKSONVILLE
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State | FL
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Zip | 32216-2737
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Country | US
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Telephone | 904-337-9950
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Fax | 904-212-2509
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Provider Business Mailing Address
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Address Line | 3100 UNIVERSITY BLVD S STE 119
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City | JACKSONVILLE
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State | FL
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Zip | 32216-2737
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Country | US
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Telephone | 619-318-4541
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Fax | 904-904-4212
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | RPS2009032
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PMH1752
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License Number State | FL
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