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General NPI Number Information
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NPI Number | 1225236219
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Entity Type | Individual
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Provider Name | NICOLE E. MEVS-MARTIN MA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 31165 TEMECULA PKWY STE 1027
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City | TEMECULA
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State | CA
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Zip | 92592-2908
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Country | US
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Telephone | 951-541-2031
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Fax |
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Provider Business Mailing Address
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Address Line | 5677 S TRANSIT RD STE 318
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City | LOCKPORT
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State | NY
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Zip | 14094-5842
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Country | US
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Telephone | 951-541-2031
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF001740
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT 79622
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License Number State | CA
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