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General NPI Number Information
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NPI Number | 1982760237
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Entity Type | Individual
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Provider Name | JOAN MARIE WETZEL B.A. , M.S.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1188 N EUCLID ST SUITE 220
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City | ANAHEIM
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State | CA
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Zip | 92801-1900
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Country | US
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Telephone | 714-254-2704
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Fax | 714-254-2953
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Provider Business Mailing Address
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Address Line | 1942 NORTH DEERPARK DRIVE APARTMENT # 82
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City | FULLERTON
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State | CA
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Zip | 92831
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Country | US
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Telephone | 714-528-4309
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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