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General NPI Number Information
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NPI Number | 1174752075
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Entity Type | Organization
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Legal Business Name | JULIAN E. MARTINEZ, M.D.P.C.
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 07/13/2009
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Provider Practice Location Address
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Address Line | 1635 N GEORGE MASON DR SUITE 185
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City | ARLINGTON
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State | VA
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Zip | 22205-3601
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Country | US
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Telephone | 707-717-4093
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Fax | 703-717-4094
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Provider Business Mailing Address
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Address Line | 1635 N GEORGE MASON DR SUITE 185
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City | ARLINGTON
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State | VA
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Zip | 22205-3601
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Country | US
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Telephone | 707-717-4093
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Fax | 703-717-4094
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JULIAN E. MARTINEZ
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Credential | MD
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Telephone | 703-717-4093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101241478
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License Number State | VA
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