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General NPI Number Information
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NPI Number | 1255987004
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Entity Type | Individual
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Provider Name | MARIA MARTINEZ DNP MSNFNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 1425 S MOORE RD STE C
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City | CHATTANOOGA
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State | TN
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Zip | 37412-2836
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Country | US
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Telephone | 423-287-6805
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Fax | 423-287-6806
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Provider Business Mailing Address
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Address Line | 207 CENTRAL DR
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City | CHATTANOOGA
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State | TN
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Zip | 37421-5107
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Country | US
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Telephone | 832-867-0760
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP142752
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License Number State | TX
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