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General NPI Number Information
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NPI Number | 1205709672
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Entity Type | Organization
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Legal Business Name | KAREN J GILMORE LICENSED CLINICAL SOCIAL WORKER INC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 190 SIERRA CT STE C4
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City | PALMDALE
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State | CA
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Zip | 93550-7609
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Country | US
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Telephone | 661-902-1962
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Fax |
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Provider Business Mailing Address
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Address Line | 44323 GALION AVE
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City | LANCASTER
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State | CA
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Zip | 93536-6078
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Country | US
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Telephone | 661-902-1962
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | MRS. HELEN JENNIFER CONTRERAS
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Credential |
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Telephone | 661-618-5713
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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 |
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License Number State |
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