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General NPI Number Information
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NPI Number | 1508866062
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Entity Type | Individual
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Provider Name | JOSEPHINE KOKAREV MSW
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Gender | Female
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 360 CALOOSA PALMS COURT
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6939
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Country | US
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Telephone | 802-233-0077
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Fax | 802-229-5226
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Provider Business Mailing Address
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Address Line | 360 CALOOSA PALMS COURT
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6939
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Country | US
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Telephone | 802-233-0077
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Fax | 802-229-5226
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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 | VT-0000089-82
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089.0000082
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW22626
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License Number State | FL
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