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General NPI Number Information
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NPI Number | 1972113918
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Entity Type | Individual
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Provider Name | JOANNE LOUISE AVIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1111 12TH ST STE 101
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City | KEY WEST
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State | FL
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Zip | 33040-4084
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Country | US
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Telephone | 305-783-3677
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Fax | 305-407-3395
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Provider Business Mailing Address
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Address Line | 4714 NW 21ST CT
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City | COCONUT CREEK
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State | FL
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Zip | 33063-9614
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Country | US
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Telephone | 754-214-8880
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW7050
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License Number State | FL
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