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General NPI Number Information
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NPI Number | 1235636473
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Entity Type | Individual
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Provider Name | MARIA G MARTINEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 10315 WOODLEY AVE STE 215
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City | GRANADA HILLS
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State | CA
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Zip | 91344-6950
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Country | US
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Telephone | 818-945-9075
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Fax |
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Provider Business Mailing Address
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Address Line | 16001 HORACE ST
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City | GRANADA HILLS
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State | CA
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Zip | 91344-5322
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Country | US
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Telephone | 323-351-3633
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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 | 80703
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License Number State | CA
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