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General NPI Number Information
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NPI Number | 1205933504
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Entity Type | Individual
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Provider Name | PEDRO O MARTINEZ-CLARK M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 5040 NW 7TH STREET SUITE 750
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City | MIAMI
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State | FL
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Zip | 33126-3490
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Country | US
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Telephone | 305-587-1752
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Fax | 305-397-2986
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Provider Business Mailing Address
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Address Line | 5040 NW 7TH ST STE 750
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City | MIAMI
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State | FL
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Zip | 33126-3490
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Country | US
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Telephone | 305-301-7169
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Fax | 305-397-2986
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME97003
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License Number State | FL
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