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General NPI Number Information
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NPI Number | 1932243359
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Entity Type | Individual
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Provider Name | CHERYL R WUNSCH MED RNCS
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Gender | Female
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE #110
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City | LOS ANGELES
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State | CA
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Zip | 90025-5363
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Country | US
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Telephone | 323-680-0102
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Fax | 818-358-2825
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Provider Business Mailing Address
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Address Line | 2001 S BARRINGTON AVE #203
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City | LOS ANGELES
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State | CA
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Zip | 90025-5363
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Country | US
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Telephone | 323-680-0102
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Fax | 818-358-2825
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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 | RN-265860L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | RN763322
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License Number State | CA
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