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General NPI Number Information
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NPI Number | 1255016077
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Entity Type | Individual
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Provider Name | CLAUDIA CHRISTINA MARTINEZ DMD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 4595 NORTHLAKE BLVD STE 103
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-4647
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Country | US
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Telephone | 561-427-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 5501 OLD YORK RD
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3018
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Country | US
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Telephone | 215-456-6013
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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 | DN28332
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License Number State | FL
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