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General NPI Number Information
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NPI Number | 1235029356
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Entity Type | Individual
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Provider Name | MARIA DEL ROSARIO MARTINEZ POLO DDS
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Gender | Female
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 7575 DR PHILLIPS BLVD
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City | ORLANDO
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State | FL
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Zip | 32819-7216
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Country | US
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Telephone | 407-363-0365
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Fax |
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Provider Business Mailing Address
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Address Line | 13159 WOODFORD ST
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City | ORLANDO
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State | FL
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Zip | 32832-6959
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Country | US
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Telephone | 407-301-2523
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN30716
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License Number State | FL
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