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General NPI Number Information
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NPI Number | 1164343851
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Entity Type | Individual
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Provider Name | BREANNA MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 4239 S BUCKLEY RD
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City | AURORA
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State | CO
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Zip | 80013-2951
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Country | US
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Telephone | 720-452-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 27226 E BAYAUD AVE
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City | AURORA
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State | CO
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Zip | 80018-1896
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Country | US
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Telephone | 805-754-0347
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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 | PTL.0021452
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License Number State | CO
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