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General NPI Number Information
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NPI Number | 1053876284
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Entity Type | Organization
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Legal Business Name | EVANGELINA E MARTINEZ MD INC
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Dates
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Enumeration Date | 02/01/2019
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 2 UPPER RAGSDALE DR STE B200
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City | MONTEREY
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State | CA
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Zip | 93940-7844
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Country | US
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Telephone | 831-375-6334
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Fax | 831-375-6331
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Provider Business Mailing Address
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Address Line | 2 UPPER RAGSDALE DR STE B200
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City | MONTEREY
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State | CA
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Zip | 93940-7844
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Country | US
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Telephone | 831-375-6334
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Fax | 831-375-6331
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | EVANGELINA MATRINEZ
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Credential | MD
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Telephone | 831-375-6334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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