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General NPI Number Information
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NPI Number | 1891346904
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Entity Type | Individual
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Provider Name | DENISE MARTINEZ ASW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 2325 CRENSHAW BLVD
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City | TORRANCE
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State | CA
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Zip | 90501-3325
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Country | US
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Telephone | 310-972-3211
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70
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City | MONTEBELLO
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State | CA
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Zip | 90640-0070
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Country | US
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Telephone | 323-250-3748
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ASW128433
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License Number State | CA
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