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General NPI Number Information
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NPI Number | 1043427263
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Entity Type | Individual
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Provider Name | ZOBEIDA ENID MARTINEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 1485 ASHFORD AVE. ST. MARYS PLAZA 2 APT. 1104-SOUTH
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-726-2801
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Fax | 787-726-2801
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Provider Business Mailing Address
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Address Line | PO BOX 364214
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City | SAN JUAN
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State | PR
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Zip | 00936-4214
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Country | US
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Telephone | 787-726-2801
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Fax | 787-726-2801
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 8632
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 8632
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License Number State | PR
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