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General NPI Number Information
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NPI Number | 1326772815
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Entity Type | Individual
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Provider Name | LANIKA WILSON
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Gender | Female
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 103 N MAIN ST
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City | BEL AIR
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State | MD
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Zip | 21014-3539
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Country | US
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Telephone | 888-333-1345
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Fax | 410-734-2025
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Provider Business Mailing Address
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Address Line | 103A N MAIN ST
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City | BEL AIR
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State | MD
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Zip | 21014-3539
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Country | US
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Telephone | 888-333-1345
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Fax | 410-734-2025
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 28001
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License Number State | MD
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