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General NPI Number Information
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NPI Number | 1225358203
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Entity Type | Individual
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Provider Name | MARIELLA MARTINEZ-NAVARRO D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 125 MURRAY ST
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City | AUBURN
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State | NY
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Zip | 13021-1311
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Country | US
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Telephone | 787-360-0819
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 N PONCE DE LEON BLVD SUITE #1
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-2600
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Country | US
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Telephone | 787-360-0819
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X012179-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | X012179-1
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License Number State | NY
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