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General NPI Number Information
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NPI Number | 1942674288
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Entity Type | Individual
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Provider Name | NORA ALICIA MARTINEZ LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 06/08/2025
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Provider Practice Location Address
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Address Line | 1503 N IMPERIAL AVE STE 205
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City | EL CENTRO
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State | CA
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Zip | 92243-6302
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Country | US
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Telephone | 928-235-6078
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Fax | 928-492-6181
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Provider Business Mailing Address
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Address Line | 2554 W 16TH ST PMB 344
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City | YUMA
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State | AZ
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Zip | 85364-4229
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Country | US
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Telephone | 928-235-6078
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Fax | 928-492-6181
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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 | 131465
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License Number State | CA
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