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General NPI Number Information
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NPI Number | 1255504171
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Entity Type | Individual
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Provider Name | BEATRIZ MARTINEZ ORTIZ LND MPHN
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Gender | Female
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | CAROLINA COMMERCIAL PARK 2420 SUITE 1
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City | CAROLINA
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State | PR
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Zip | 00987-7169
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Country | US
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Telephone | 787-762-7840
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Fax |
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Provider Business Mailing Address
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Address Line | C/2 E1-2 4TH EXT URB METROPOLIS
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone |
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 1305
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License Number State |
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