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General NPI Number Information
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NPI Number | 1821340373
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Entity Type | Individual
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Provider Name | RONALD VIRGIL WILSON JR.
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Gender | Male
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 1200 N MAIN ST ROOM 325
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City | SANTA ANA
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State | CA
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Zip | 92701-3640
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Country | US
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Telephone | 714-480-6357
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 OCEAN AVENUE APT. A
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City | SEAL BEACH
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State | CA
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Zip | 90740-6446
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Country | US
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Telephone | 832-229-7737
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF 67548
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License Number State | CA
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