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General NPI Number Information
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NPI Number | 1134919996
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Entity Type | Individual
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Provider Name | TANYA MARTINEZ CSFA
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Gender | Female
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 112 N 7TH ST
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-1720
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Country | US
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Telephone | 717-267-7164
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Fax |
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Provider Business Mailing Address
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Address Line | 829 S 5TH ST
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-3746
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Country | US
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Telephone | 305-753-8141
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 215232
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License Number State | TN
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