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General NPI Number Information
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NPI Number | 1023390523
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Entity Type | Individual
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Provider Name | ALMA MARTINEZ DMD
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Gender | Female
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 201 S PARADISE AVE
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City | MIDDLETON
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State | ID
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Zip | 83644-5809
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Country | US
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Telephone | 208-585-0048
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Fax | 208-466-5359
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Provider Business Mailing Address
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Address Line | 12376 S ESSEX WAY
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City | NAMPA
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State | ID
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Zip | 83686-5190
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Country | US
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Telephone | 208-899-6838
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | D-PR-4382
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7486
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License Number State | LA
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