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General NPI Number Information
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NPI Number | 1063129898
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Entity Type | Individual
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Provider Name | WILBER L. MENDEZ PMHNP
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Gender | Male
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 82 E BEAVER CREEK BLVD
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City | AVON
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State | CO
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Zip | 81620-5889
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Country | US
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Telephone | 970-445-2821
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Fax | 970-340-2093
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Provider Business Mailing Address
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Address Line | PO BOX 778
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City | AVON
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State | CO
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Zip | 81620-0778
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Country | US
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Telephone | 970-445-2821
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Fax | 970-340-2093
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0998425-NP
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License Number State | CO
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