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General NPI Number Information
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NPI Number | 1255889952
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Entity Type | Individual
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Provider Name | ELIZABETH PELISHEK WILKINSON
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Gender | Female
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2108 BRIGADE CIR
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City | FREDERICK
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State | MD
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Zip | 21702-2502
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Country | US
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Telephone | 443-671-4509
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Fax |
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Provider Business Mailing Address
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Address Line | 3446 BANCROFT ST
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City | SAN DIEGO
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State | CA
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Zip | 92104-4319
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Country | US
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Telephone |
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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 | 27155
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17850
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License Number State | FL
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Taxonomy #3
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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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