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General NPI Number Information
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NPI Number | 1811498660
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Entity Type | Individual
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Provider Name | AMBER LEE MARTINELLI CADCII
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Gender | Female
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2085 RUSTIN AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507-2498
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Country | US
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Telephone | 800-499-3008
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Fax | 951-784-9176
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Provider Business Mailing Address
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Address Line | 23119 COTTONWOOD AVE STE 100
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City | MORENO VALLEY
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State | CA
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Zip | 92553-9661
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Country | US
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Telephone | 951-955-7344
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Fax | 951-413-5230
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 124149
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License Number State | CA
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