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General NPI Number Information
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NPI Number | 1154516003
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Entity Type | Organization
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Legal Business Name | JULIE A. WILNIER, PHD, CLINICAL PSYCHOLOGIST, INC.
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 26391 CROWN VALLEY PKWY SUITE 110
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City | MISSION VIEJO
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State | CA
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Zip | 92691-7309
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Country | US
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Telephone | 949-600-9776
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Fax | 949-600-9776
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Provider Business Mailing Address
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Address Line | PO BOX 80166
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-0166
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIE A WILNIER
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Credential | PHD
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Telephone | 949-293-5384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 20932
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License Number State | CA
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