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General NPI Number Information
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NPI Number | 1609930767
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Entity Type | Individual
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Provider Name | MARGEAUX WILKINSON
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 1375 55TH ST
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City | EMERYVILLE
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State | CA
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Zip | 94608-2609
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Country | US
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Telephone | 510-655-7880
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Fax |
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Provider Business Mailing Address
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Address Line | 4804 WEBSTER ST
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City | OAKLAND
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State | CA
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Zip | 94609-2115
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Country | US
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Telephone | 510-295-9980
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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