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General NPI Number Information
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NPI Number | 1184216525
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Entity Type | Individual
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Provider Name | NELSON MARTINEZ PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 520 FIELDER NORTH PLZ
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City | ARLINGTON
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State | TX
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Zip | 76012-2309
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Country | US
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Telephone | 817-461-4257
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Fax | 817-461-4865
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Provider Business Mailing Address
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Address Line | 520 FIELDER NORTH PLZ
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City | ARLINGTON
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State | TX
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Zip | 76012-2309
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Country | US
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Telephone | 817-461-4257
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Fax | 817-461-4865
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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 | 1342510
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License Number State | TX
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