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General NPI Number Information
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NPI Number | 1376490060
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Entity Type | Individual
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Provider Name | ONIKA TAKODA EVERSOLE MSW CSW TCM CMIP CGP
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Gender | Female
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 349 BOGLE ST
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City | SOMERSET
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State | KY
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Zip | 42503-2895
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Country | US
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Telephone | 606-485-4611
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Fax |
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Provider Business Mailing Address
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Address Line | 796 E LAUREL RD APT 1
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City | LONDON
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State | KY
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Zip | 40741-8836
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Country | US
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Telephone | 606-729-5907
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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 | CSW00001214
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License Number State | KY
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