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General NPI Number Information
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NPI Number | 1467033712
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Entity Type | Individual
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Provider Name | JASMINE MENDEZ
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Gender | Female
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 7830 CLAIREMONT MESA BLVD STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92111-1632
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Country | US
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Telephone | 619-229-2999
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Fax | 619-229-2998
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Provider Business Mailing Address
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Address Line | 1279 FINCH PL
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City | CHULA VISTA
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State | CA
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Zip | 91911-3810
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Country | US
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Telephone | 619-246-4608
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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Taxonomy #4
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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