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General NPI Number Information
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NPI Number | 1285197228
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Entity Type | Individual
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Provider Name | KENYA WILCOX LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | 650 9TH AVE SW STE 100
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City | BESSEMER
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State | AL
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Zip | 35022-4502
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Country | US
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Telephone | 205-267-4463
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Fax | 205-800-7244
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Provider Business Mailing Address
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Address Line | 5917 MARTIN LUTHER AVE
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City | BIRMINGHAM
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State | AL
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Zip | 35228-3636
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Country | US
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Telephone | 205-434-5989
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4195G
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License Number State | AL
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