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General NPI Number Information
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NPI Number | 1205717782
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Entity Type | Individual
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Provider Name | YVONNE DENISE MARTINEZ FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 88 BRIGGS ST STE 250
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1269
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Country | US
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Telephone | 210-874-5260
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Fax | 210-864-4838
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Provider Business Mailing Address
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Address Line | 13619 PATRONUS WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78245-2099
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Country | US
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Telephone | 956-655-1384
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1173116
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License Number State | TX
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