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General NPI Number Information
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NPI Number | 1679880587
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Entity Type | Individual
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Provider Name | WILHELMINA CHRISTINE VICTOR RCP, NC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 600 MILLER AVE
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City | MILL VALLEY
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State | CA
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Zip | 94941-2990
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Country | US
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Telephone | 415-388-8101
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Fax | 415-388-8209
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Provider Business Mailing Address
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Address Line | 600 MILLER AVE
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City | MILL VALLEY
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State | CA
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Zip | 94941-2990
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Country | US
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Telephone | 415-388-8101
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Fax | 415-388-8209
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 7679
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License Number State | CA
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