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General NPI Number Information
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NPI Number | 1609687318
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Entity Type | Individual
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Provider Name | MARTA MENDIZABAL FDNP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 6568 SHERBORN RD
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City | PARMA HEIGHTS
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State | OH
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Zip | 44130-3954
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Country | US
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Telephone | 216-808-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 15728 LORAIN AVE UNIT 300
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City | CLEVELAND
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State | OH
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Zip | 44111-5542
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Country | US
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Telephone | 216-808-3600
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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