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General NPI Number Information
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NPI Number | 1619812849
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Entity Type | Individual
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Provider Name | STEVEN A MEDINA AMFT
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Gender | Male
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 41593 WINCHESTER RD STE 215
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City | TEMECULA
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State | CA
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Zip | 92590-4841
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Country | US
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Telephone | 951-602-7730
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Fax |
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Provider Business Mailing Address
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Address Line | 22400 BARTON RD SUITE #21 PMB #498
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City | GRAND TERRACE
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State | CA
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Zip | 92313-5069
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Country | US
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Telephone |
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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 | 162564
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License Number State | CA
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