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General NPI Number Information
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NPI Number | 1003877143
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Entity Type | Individual
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Provider Name | HOMAR A MARTINEZ MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 775 MOUNTAIN BLVD
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City | WATCHUNG
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State | NJ
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Zip | 07069-6262
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Country | US
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Telephone | 908-561-1102
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Fax | 908-561-1105
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Provider Business Mailing Address
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Address Line | 859 NEWMANS LN
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City | MARTINSVILLE
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State | NJ
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Zip | 08836-2139
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Country | US
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Telephone | 732-764-9392
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Fax | 732-764-9392
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA074281
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 25MA074281
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License Number State | NJ
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