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General NPI Number Information
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NPI Number | 1417755372
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Entity Type | Individual
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Provider Name | VALERIA MENDOZA
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Gender | Female
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 5905 SEVERIN DR
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City | LA MESA
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State | CA
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Zip | 91942-3806
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Country | US
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Telephone | 619-589-2606
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Fax |
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Provider Business Mailing Address
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Address Line | 2340 MALLARD CT
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City | LEMON GROVE
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State | CA
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Zip | 91945-3472
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Country | US
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Telephone | 310-658-0314
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 528759
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 27546
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License Number State | CA
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