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General NPI Number Information
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NPI Number | 1720858319
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Entity Type | Organization
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Legal Business Name | VONOSTIR INNOVATION SERVICES PLLC
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 7511 LEROY DR
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City | JACKSONVILLE
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State | FL
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Zip | 32244-1626
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Country | US
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Telephone | 904-290-4601
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Fax | 251-517-7027
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Provider Business Mailing Address
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Address Line | 7511 LEROY DR
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City | JACKSONVILLE
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State | FL
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Zip | 32244-1626
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT AND CEO
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Name | MR. KURT WILHELM OSTER
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Credential | LICSW-S, LCSW-S, BCD
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Telephone | 904-290-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 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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