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General NPI Number Information
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NPI Number | 1215581152
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Entity Type | Individual
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Provider Name | CELIA M. MARTINI AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 04/01/2020
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Provider Practice Location Address
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Address Line | 8251 W BROWARD BLVD STE 304
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City | PLANTATION
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State | FL
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Zip | 33324-2703
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Country | US
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Telephone | 954-731-1101
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Fax | 954-731-5637
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Provider Business Mailing Address
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Address Line | 8251 W BROWARD BLVD STE 304
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City | PLANTATION
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State | FL
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Zip | 33324-2703
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Country | US
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Telephone | 954-731-1101
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Fax | 954-731-5637
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11003585
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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 | RN9302721
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License Number State | FL
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