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General NPI Number Information
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NPI Number | 1134739337
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Entity Type | Individual
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Provider Name | LIDIA ALEJANDRA MARTINEZ PHD LMHC MCAP CTP
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Gender | Female
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1032 E BRANDON BLVD # 5770
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City | BRANDON
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State | FL
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Zip | 33511-5509
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Country | US
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Telephone | 786-565-6916
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Fax | 305-260-6200
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Provider Business Mailing Address
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Address Line | 13520 SW 152ND ST UNIT 771513
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City | MIAMI
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State | FL
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Zip | 33177-0178
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Country | US
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Telephone | 786-565-6916
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Fax | 305-260-6200
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5227
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ADC-011071-2015
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License Number State | FL
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