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General NPI Number Information
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NPI Number | 1023298304
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Entity Type | Organization
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Legal Business Name | EMANUEL E. MARTINEZ M.D., P.A.
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 7210 MCPHERSON RD STE. 200
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City | LAREDO
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State | TX
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Zip | 78041-6507
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Country | US
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Telephone | 956-722-6777
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Fax |
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Provider Business Mailing Address
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Address Line | 7210 MCPHERSON RD STE. 200
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City | LAREDO
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State | TX
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Zip | 78041-6507
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Country | US
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Telephone | 956-722-6777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EMANUEL E MARTINEZ
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Credential | M.D., P.A.
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Telephone | 956-722-6777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | H6409
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License Number State | TX
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