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General NPI Number Information
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NPI Number | 1982537650
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Entity Type | Individual
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Provider Name | MARLENE MARTINEZ-MENDOZA
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 1249 E COLTON AVE
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City | REDLANDS
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State | CA
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Zip | 92374-3755
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Country | US
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Telephone | 909-748-8022
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Fax |
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Provider Business Mailing Address
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Address Line | 29175 DALLAS CIR
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City | WINCHESTER
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State | CA
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Zip | 92596-9633
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Country | US
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Telephone |
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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 |
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License Number State | CA
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