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General NPI Number Information
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NPI Number | 1720004500
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Entity Type | Individual
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Provider Name | DIANNE P WHEELER-CALLIN PHD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 3292 E FLORIDA AVE SUITE C
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City | HEMET
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State | CA
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Zip | 92544-4941
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Country | US
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Telephone | 951-766-4690
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Fax | 951-766-4691
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Provider Business Mailing Address
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Address Line | 3292 E FLORIDA AVE SUITE C
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City | HEMET
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State | CA
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Zip | 92544-4941
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Country | US
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Telephone | 951-766-4690
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Fax | 951-766-4691
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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 | PSY9169
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License Number State | CA
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