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General NPI Number Information
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NPI Number | 1902043128
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Entity Type | Organization
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Legal Business Name | SONIA VOCKELL LCSW CAP INC
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Dates
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Enumeration Date | 01/09/2009
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 495 ROBERTS RD
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City | JACKSONVILLE
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State | FL
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Zip | 32259-8912
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Country | US
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Telephone | 904-287-1896
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Fax | 904-507-4499
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Provider Business Mailing Address
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Address Line | 495 ROBERTS RD
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City | JACKSONVILLE
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State | FL
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Zip | 32259-8912
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Country | US
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Telephone | 904-287-1896
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Fax | 904-507-4499
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Authorized Official
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Title or Position | PRESIDENT
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Name | SONIA VOCKELL
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Credential | LCSW CAP
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Telephone | 904-287-1896
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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 | SW5822
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License Number State | FL
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