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General NPI Number Information
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NPI Number | 1104555846
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Entity Type | Individual
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Provider Name | VICTORIA JEAN HUEBEL ASW
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Gender | Female
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 30951 HANOVER LN APT 2504
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City | MENIFEE
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State | CA
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Zip | 92584-6635
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Country | US
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Telephone | 858-298-7362
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Fax |
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Provider Business Mailing Address
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Address Line | 550 W B ST FL 4
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City | SAN DIEGO
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State | CA
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Zip | 92101-3537
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Country | US
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Telephone | 617-797-4020
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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 | 98341
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 98341
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License Number State | CA
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