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General NPI Number Information
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NPI Number | 1962216309
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Entity Type | Individual
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Provider Name | MARTIN SILVA JR. APCC
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Gender | Male
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 69730 HIGHWAY 111 STE 109
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2873
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Country | US
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Telephone | 760-322-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 6757 ADOBE RD APT 3
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92277-3378
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Country | US
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Telephone | 442-402-9396
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APCC18238
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | APCC18238
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License Number State | CA
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