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General NPI Number Information
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NPI Number | 1962896761
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Entity Type | Individual
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Provider Name | MR. CESAR MARTINEZ
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Gender | Male
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 900 E GILBERT ST COTTAGE 4
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City | SAN BERNARDINO
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State | CA
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Zip | 92415-0936
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Country | US
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Telephone | 909-756-0598
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Fax |
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Provider Business Mailing Address
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Address Line | 7946 SUNFLOWER ST
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City | HIGHLAND
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State | CA
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Zip | 92346-5775
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Country | US
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Telephone | 951-565-1280
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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 #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT142551
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License Number State | CA
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