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General NPI Number Information
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NPI Number | 1205069903
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Entity Type | Organization
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Legal Business Name | JOANNE KOSTER PLLC
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 219 COMMERCE ST STE B
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City | GREENVILLE
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State | NC
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Zip | 27858-5031
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Country | US
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Telephone | 252-714-4324
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Fax | 252-756-7572
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Provider Business Mailing Address
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Address Line | 6012 NC 43 S
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City | GREENVILLE
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State | NC
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Zip | 27858-9073
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Country | US
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Telephone | 252-714-4324
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Fax | 252-756-7572
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Authorized Official
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Title or Position | MANAGER
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Name | MS. JOANNE KOSTER
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Credential | LCSW
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Telephone | 252-714-4324
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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 | C004505
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License Number State | NC
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