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General NPI Number Information
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NPI Number | 1417419185
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Entity Type | Organization
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Legal Business Name | VICTORIA SOKOLOWSKI, LLC
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 04/02/2019
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Provider Practice Location Address
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Address Line | 345 BLACKSTONE BLVD
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City | PROVIDENCE
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State | RI
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Zip | 02906-4800
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Country | US
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Telephone | 401-680-4118
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Fax |
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Provider Business Mailing Address
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Address Line | 116 BARTLETT AVE
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City | CRANSTON
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State | RI
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Zip | 02905-1336
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Country | US
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Telephone | 203-240-4374
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. VICTORIA KAY SOKOLOWSKI
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Credential | LCSW
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Telephone | 203-240-4374
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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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