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General NPI Number Information
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NPI Number | 1295664423
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Entity Type | Individual
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Provider Name | REBECCA WU M.A.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1271 CALLE SARMENTOSO
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-4023
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Country | US
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Telephone | 949-366-9607
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Fax |
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Provider Business Mailing Address
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Address Line | 447 COVERED WAGON DR
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1742
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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 |
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 220130763
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License Number State | CA
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