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General NPI Number Information
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NPI Number | 1194041814
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Entity Type | Individual
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Provider Name | VALERIE CANDICE MARTINEZ DNP, APRN, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 12201 RESEARCH PKWY STE 300
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City | ORLANDO
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State | FL
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Zip | 32826-3265
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Country | US
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Telephone | 407-823-5024
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Fax |
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Provider Business Mailing Address
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Address Line | 2640 LOBELIA DR
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City | LAKE MARY
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State | FL
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Zip | 32746-2686
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Country | US
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Telephone | 505-901-7755
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN11002469
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9510923
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License Number State | FL
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