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General NPI Number Information
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NPI Number | 1245357367
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Entity Type | Individual
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Provider Name | KENDRA E. WILKINS MSW
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 01/04/2016
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Provider Practice Location Address
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Address Line | 5849 CROCKER ST UNIT K
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City | LOS ANGELES
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State | CA
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Zip | 90003-1311
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Country | US
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Telephone | 323-406-5800
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Fax | 323-233-2685
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Provider Business Mailing Address
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Address Line | 5849 CROCKER ST UNIT K
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City | LOS ANGELES
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State | CA
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Zip | 90003-1311
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Country | US
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Telephone | 323-406-5800
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Fax | 323-233-2685
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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 | LCSW61783
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License Number State | CA
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