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General NPI Number Information
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NPI Number | 1194659128
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Entity Type | Individual
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Provider Name | MARTHA JOCELYN MATURINO
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Gender | Female
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 100 MEDICAL PKWY
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City | LAKEWAY
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State | TX
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Zip | 78738-5621
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Country | US
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Telephone | 512-654-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 13500 LYNDHURST ST APT 2074
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City | AUSTIN
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State | TX
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Zip | 78717-6087
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Country | US
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Telephone |
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 960943
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License Number State | TX
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