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General NPI Number Information
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NPI Number | 1710879218
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Entity Type | Individual
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Provider Name | ALEXANDRA GIL MENDOZA
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Gender | Female
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 190 SIERRA CT STE C4
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City | PALMDALE
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State | CA
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Zip | 93550-7609
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Country | US
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Telephone | 661-855-6746
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Fax |
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Provider Business Mailing Address
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Address Line | 3321 MESQUITE WAY
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City | MODESTO
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State | CA
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Zip | 95355-3536
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Country | US
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Telephone | 209-808-8585
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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 |
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License Number State | CA
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