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General NPI Number Information
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NPI Number | 1538400809
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Entity Type | Individual
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Provider Name | ERIN SHILOH WIKERT LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/11/2013
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 14344 CAJON AVE STE 102
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City | VICTORVILLE
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State | CA
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Zip | 92392-4301
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Country | US
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Telephone | 760-243-3999
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Fax |
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Provider Business Mailing Address
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Address Line | 4380 HIGHLAND RD
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City | PHELAN
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State | CA
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Zip | 92371-8467
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Country | US
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Telephone | 760-508-9838
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT148079
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License Number State | CA
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