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General NPI Number Information
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NPI Number | 1528518321
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Entity Type | Individual
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Provider Name | DANA KIRKWOOD ADKINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 10/05/2016
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Provider Practice Location Address
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Address Line | 3401 BEECH STREET BUILDING 949, ROOM #225
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City | MCCLELLAN
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State | CA
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Zip | 95652
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Country | US
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Telephone | 916-640-8454
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Fax | 916-640-0995
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Provider Business Mailing Address
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Address Line | 9848 OAKPLACE E
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City | FOLSOM
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State | CA
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Zip | 95630-1918
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Country | US
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Telephone | 916-988-1718
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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 | 23224
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License Number State | CA
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