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General NPI Number Information
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NPI Number | 1194076760
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Entity Type | Individual
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Provider Name | MARIE ELIZABETH WILSON
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Gender | Female
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 09/03/2013
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Provider Practice Location Address
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Address Line | 1666 N MAIN ST STE. 400
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City | SANTA ANA
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State | CA
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Zip | 92701-7417
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Country | US
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Telephone | 949-280-7794
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Fax |
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Provider Business Mailing Address
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Address Line | 26131 PITTSFORD
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City | LAKE FOREST
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State | CA
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Zip | 92630-7282
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Country | US
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Telephone | 949-280-7794
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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 |
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License Number State |
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