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General NPI Number Information
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NPI Number | 1194195735
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Entity Type | Organization
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Legal Business Name | KERN COUNTY DEPARMENT OF MENTAL HEALTH
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 09/25/2015
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Provider Practice Location Address
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Address Line | 5121 STOCKDALE HWY SUITE 275
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2656
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Country | US
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Telephone | 661-868-5000
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Fax | 661-836-8834
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Provider Business Mailing Address
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Address Line | PO BOX 1000
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City | BAKERSFIELD
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State | CA
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Zip | 93302-1000
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Country | US
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Telephone | 661-868-5000
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Fax | 661-836-8834
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Authorized Official
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Title or Position | UNIT SUPERVISOR
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Name | MS. PEG WALKER
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Credential | LCSW
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Telephone | 661-868-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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