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General NPI Number Information
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NPI Number | 1932874245
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Entity Type | Individual
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Provider Name | ALKENIA BLACKMON
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 3880 LEMON ST STE 500
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City | RIVERSIDE
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State | CA
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Zip | 92501-3374
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Country | US
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Telephone | 951-530-1299
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Fax | 951-405-8029
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Provider Business Mailing Address
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Address Line | 3200 MOTOR AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-3740
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Country | US
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Telephone | 310-836-1223
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSB94027297
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License Number State | CA
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