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General NPI Number Information
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NPI Number | 1124497326
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Entity Type | Individual
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Provider Name | CATALINA ANA MARTINEZ PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 23905 CLINTON KEITH RD # 114-411
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City | WILDOMAR
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State | CA
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Zip | 92595-7897
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Country | US
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Telephone | 951-225-1347
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Fax | 951-344-8261
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Provider Business Mailing Address
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Address Line | 23905 CLINTON KEITH RD # 114-411
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City | WILDOMAR
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State | CA
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Zip | 92595-7897
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Country | US
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Telephone | 951-225-1347
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Fax | 951-344-8261
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 27625
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 34624
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 32090
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License Number State | TX
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