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General NPI Number Information
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NPI Number | 1972139632
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Entity Type | Individual
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Provider Name | NATALIA MENDEZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/13/2020
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | BLDG 22190 92056 MARINE DR.
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City | OCEANSIDE
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State | CA
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Zip | 92058
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Country | US
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Telephone | 760-725-3784
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Fax |
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Provider Business Mailing Address
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Address Line | MARINE DRIVE BUILDING 22190
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City | OCEANSIDE
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State | CA
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Zip | 92058
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Country | US
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Telephone | 513-884-3088
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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