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General NPI Number Information
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NPI Number | 1144239260
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Entity Type | Individual
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Provider Name | LUZ R MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 38109 MARKET SQ
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-7505
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Country | US
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Telephone | 813-783-3187
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Fax | 813-783-2251
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Provider Business Mailing Address
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Address Line | 17822 PINE KNOLL DR
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City | DADE CITY
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State | FL
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Zip | 33523-0646
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT8799
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License Number State | FL
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