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General NPI Number Information
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NPI Number | 1528448768
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Entity Type | Organization
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Legal Business Name | OCEANO COUNSELING LLC
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 05/17/2020
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Provider Practice Location Address
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Address Line | 1016 2ND AVE N STE 206F
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-8209
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Country | US
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Telephone | 843-360-0053
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Fax | 410-893-5227
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Provider Business Mailing Address
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Address Line | 1016 2ND AVE N STE 206F
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-8209
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Country | US
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Telephone | 843-360-0053
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Fax | 410-893-5227
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIALWORKER
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Name | MONICA JEAN SOJKA
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Credential | LISW-CP
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Telephone | 843-360-0053
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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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