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General NPI Number Information
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NPI Number | 1194386227
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Entity Type | Organization
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Legal Business Name | KOKIE'S COUNSELING
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 1575 INDIAN RIVER BLVD STE C115
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City | VERO BEACH
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State | FL
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Zip | 32960-7126
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Country | US
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Telephone | 772-301-3285
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Fax |
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Provider Business Mailing Address
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Address Line | 1575 INDIAN RIVER BLVD STE C115
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City | VERO BEACH
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State | FL
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Zip | 32960-7126
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Country | US
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Telephone | 772-301-3285
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Fax |
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Authorized Official
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Title or Position | LLC MANAGER
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Name | DOROTHY KOKIE DINNAN
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Credential | LCSW
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Telephone | 772-301-3285
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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 |
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License Number State |
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