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General NPI Number Information
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NPI Number | 1548756943
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Entity Type | Individual
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Provider Name | MELINDA ANN HERNDON LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 5300 CALIFORNIA AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1664
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Country | US
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Telephone | 661-863-1053
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Fax | 661-368-8488
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Provider Business Mailing Address
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Address Line | 6901 INWOOD DR
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4344
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Country | US
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Telephone | 661-863-1053
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Fax | 661-368-8488
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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 | 107563
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License Number State | CA
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