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General NPI Number Information
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NPI Number | 1225718497
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Entity Type | Individual
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Provider Name | ADA MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 07/21/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 3613 BECHELLI LN
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City | REDDING
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State | CA
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Zip | 96002-2429
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Country | US
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Telephone | 530-527-8496
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Fax | 530-527-8000
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Provider Business Mailing Address
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Address Line | 16432 GLEDHILL ST
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City | NORTH HILLS
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State | CA
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Zip | 91343-2807
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 102851
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License Number State | CA
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