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General NPI Number Information
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NPI Number | 1114963436
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Entity Type | Individual
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Provider Name | CARY ZOE MARTINEZ MD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 199 CALLE RIO LA PLATA
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City | HUMACAO
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State | PR
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Zip | 00791-4446
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Country | US
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Telephone | 787-285-1076
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Fax | 787-285-1076
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Provider Business Mailing Address
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Address Line | 199 CALLE RIO LA PLATA
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City | HUMACAO
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State | PR
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Zip | 00791-4446
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Country | US
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Telephone | 787-285-1076
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Fax | 787-285-1076
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 9958
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License Number State | PR
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