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General NPI Number Information
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NPI Number | 1114720463
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Entity Type | Individual
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Provider Name | MARTHA GUERRERO DENNIS
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1205 FREEDOM BLVD STE 3B
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City | WATSONVILLE
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State | CA
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Zip | 95076-2777
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Country | US
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Telephone | 559-287-8934
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425
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City | APTOS
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State | CA
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Zip | 95001-0425
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Country | US
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Telephone | 831-254-3548
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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