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General NPI Number Information
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NPI Number | 1245385145
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Entity Type | Individual
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Provider Name | WENDY JEAN HUNTER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4077 5TH AVE D LEVEL, MER 12
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City | SAN DIEGO
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State | CA
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Zip | 92103-2105
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Country | US
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Telephone | 619-686-3479
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 17402
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City | SAN DIEGO
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State | CA
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Zip | 92117
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Country | US
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Telephone | 619-686-3479
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 15402
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License Number State | CA
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