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General NPI Number Information
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NPI Number | 1629113634
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Entity Type | Individual
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Provider Name | HEATHER LEIGH ONEILL PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 50 ROSECRANS ST BLDG 500
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City | SAN DIEGO
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State | CA
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Zip | 92106-4408
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Country | US
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Telephone | 619-553-0426
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Fax |
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Provider Business Mailing Address
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Address Line | 50 ROSECRANS ST BLDG 500
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City | SAN DIEGO
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State | CA
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Zip | 92106-4408
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Country | US
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Telephone | 619-553-0246
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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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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20042402A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY30720
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License Number State | CA
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