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General NPI Number Information
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NPI Number | 1245256924
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Entity Type | Individual
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Provider Name | LEON A MARTINEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 692 N HOMESTEAD BLVD STE 102
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City | HOMESTEAD
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State | FL
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Zip | 33030-6236
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Country | US
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Telephone | 786-243-5900
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Fax | 855-451-2158
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 305-245-0200
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Fax | 305-245-6186
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 91193
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME91193
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License Number State | FL
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