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General NPI Number Information
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NPI Number | 1689475410
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Entity Type | Individual
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Provider Name | SANDRA JEANNETT MENDEZ ACSW
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 23301 DRACAEA AVE
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City | MORENO VALLEY
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State | CA
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Zip | 92553-3201
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Country | US
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Telephone | 951-571-4710
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Fax |
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Provider Business Mailing Address
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Address Line | 15660 LAS POSAS DR
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City | MORENO VALLEY
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State | CA
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Zip | 92551-1990
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Country | US
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Telephone | 714-492-3929
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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 |
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License Number State |
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