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General NPI Number Information
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NPI Number | 1407281561
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Entity Type | Individual
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Provider Name | MRS. CHRISTINA MENDOZA PICKER
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Gender | Female
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 2415 MICHIGAN AVE
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City | SANTA MONICA
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State | CA
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Zip | 90404-4009
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Country | US
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Telephone | 559-302-7427
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Fax |
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Provider Business Mailing Address
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Address Line | 11704 SIENA MIST AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-3008
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Country | US
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Telephone | 559-302-7427
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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 | LCSW-202125
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 88396
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 31071
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7486-C
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License Number State | NV
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