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General NPI Number Information
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NPI Number | 1437533817
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Entity Type | Individual
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Provider Name | DUANE RALPH WILKINS LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 5901 US HWY 27S
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City | SEBRING
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State | FL
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Zip | 33870-2117
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Country | US
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Telephone | 863-471-6227
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Fax | 863-471-6510
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Provider Business Mailing Address
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Address Line | 2782 DUFFER ROAD
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City | SEBRING
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State | FL
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Zip | 33872
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Country | US
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Telephone | 716-378-4417
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Fax | 863-413-2719
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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 | S1450293
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License Number State | OH
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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 | SW14619
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License Number State | FL
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