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General NPI Number Information
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NPI Number | 1164313060
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Entity Type | Individual
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Provider Name | BETHSUA MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1121 JACKSON ST NE STE 100
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City | MINNEAPOLIS
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State | MN
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Zip | 55413-3051
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Country | US
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Telephone | 612-353-6293
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Fax |
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Provider Business Mailing Address
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Address Line | 3624 MEADOW SAGE CT SE
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City | ROCHESTER
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State | MN
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Zip | 55904-6995
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Country | US
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Telephone | 507-398-1824
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | MN
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