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NPI 1326766544

NPI 1326766544 : TONYIA CHRISTEENA ANNE MARTIN MFT : HANFORD, CA

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General NPI Number Information
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    NPI Number           |    1326766544
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    Entity Type          |    Individual 
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    Provider Name        |    TONYIA CHRISTEENA ANNE MARTIN MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/15/2022
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    Last Update Date     |    01/24/2025
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Provider Practice Location Address
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    Address Line         |    530 KINGS COUNTY DR STE 104 
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    City                 |    HANFORD
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    State                |    CA
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    Zip                  |    93230-5954
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    Country              |    US
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    Telephone            |    559-754-3128
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    Fax                  |    559-537-7519
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Provider Business Mailing Address
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    Address Line         |    671 VISTA CT 
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    City                 |    LEMOORE
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    State                |    CA
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    Zip                  |    93245-4923
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    Country              |    US
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    Telephone            |    559-362-7228
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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       |    140472
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    License Number State |    CA
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