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General NPI Number Information
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NPI Number | 1063602001
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Entity Type | Individual
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Provider Name | SARAH OLSTYN MARTINEZ D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 11113 RESEARCH BLVD
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City | AUSTIN
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State | TX
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Zip | 78759-5236
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Country | US
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Telephone | 512-324-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 5015 WESTFIELD DR
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City | AUSTIN
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State | TX
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Zip | 78731-5029
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Country | US
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Telephone | 773-558-9165
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N4639
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License Number State | TX
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