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General NPI Number Information
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NPI Number | 1194649418
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Entity Type | Individual
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Provider Name | MAYAH MARTIN
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 408 WESTMINSTER AVE STE 10
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4238
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Country | US
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Telephone | 949-991-3569
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Fax |
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Provider Business Mailing Address
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Address Line | 2619 ENGLAND ST APT D
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2549
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Country | US
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Telephone | 714-654-9382
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | CPT-02436391
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License Number State | CA
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