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General NPI Number Information
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NPI Number | 1154535300
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Entity Type | Individual
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Provider Name | JENNIFER HOWARD WILKER M.S. , AU.D.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 2100 W 3RD ST SUITE 111
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City | LOS ANGELES
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State | CA
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Zip | 90057-1922
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Country | US
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Telephone | 213-483-9930
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 PATRONELLA AVE
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City | TORRANCE
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State | CA
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Zip | 90503-5243
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Country | US
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Telephone | 805-217-2100
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | RPE4592
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2572
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License Number State | CA
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