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NPI 1093633844

NPI 1093633844 : DR. CYNTHIA MARIE MENDENHALL : LANCASTER, CA

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General NPI Number Information
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    NPI Number           |    1093633844
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    Entity Type          |    Individual 
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    Provider Name        |    DR. CYNTHIA MARIE MENDENHALL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/08/2026
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    Last Update Date     |    07/08/2026
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Provider Practice Location Address
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    Address Line         |    44230 ARTESIA MILL CT 
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    City                 |    LANCASTER
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    State                |    CA
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    Zip                  |    93535-6254
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    Country              |    US
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    Telephone            |    760-474-0330
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10910 LONG BEACH BLVD STE 103-182 
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    City                 |    LYNWOOD
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    State                |    CA
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    Zip                  |    90262-2689
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    Country              |    US
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    Telephone            |    
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    CA
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