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General NPI Number Information
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NPI Number | 1649091448
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Entity Type | Organization
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Legal Business Name | DENZEL SUMLIN LICENSED CLINICAL SOCIAL WORKER INC.
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 5207 PRAIRIE WHEAT AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93313-5269
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Country | US
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Telephone | 661-444-1070
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Fax | 661-215-6009
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Provider Business Mailing Address
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Address Line | 5207 PRAIRIE WHEAT AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93313-5269
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Country | US
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Telephone | 661-444-1070
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Fax | 661-215-6009
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. DENZEL TODD SUMLIN
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Credential |
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Telephone | 661-444-1070
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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 |
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License Number State |
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