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General NPI Number Information
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NPI Number | 1891112694
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Entity Type | Organization
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Legal Business Name | WYNN HELMS
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 05/02/2015
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Provider Practice Location Address
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Address Line | 14156 MAGNOLIA BLVD #105
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-1181
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Country | US
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Telephone | 818-301-0203
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Fax | 818-301-0205
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Provider Business Mailing Address
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Address Line | 14156 MAGNOLIA BLVD #105
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-1181
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Country | US
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Telephone | 818-301-0203
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Fax | 818-301-0205
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/PSYCHOTHERAPY
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Name | MS. WYNN HELMS
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Credential | LMFT
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Telephone | 818-301-0203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 35111
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License Number State | CA
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