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General NPI Number Information
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NPI Number | 1215623046
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Entity Type | Individual
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Provider Name | RACHEL L JAWORSKI LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/14/2023
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 5157 PARK CLUB DR
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City | SARASOTA
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State | FL
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Zip | 34235-1801
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Country | US
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Telephone | 845-540-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 331 GRIS SKY LN
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City | BRADENTON
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State | FL
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Zip | 34212-3605
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Country | US
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Telephone | 609-230-2433
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16678
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License Number State | FL
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