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General NPI Number Information
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NPI Number | 1649517848
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Entity Type | Individual
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Provider Name | JOANNA KNOPF MSW
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Gender | Female
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Dates
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Enumeration Date | 01/08/2013
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 2460 N COURTENAY PKWY STE 114
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City | MERRITT ISLAND
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State | FL
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Zip | 32953
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Country | US
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Telephone | 321-414-2686
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 SANIBEL LN
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-7201
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Country | US
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Telephone | 252-202-8130
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW16375
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License Number State | FL
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