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General NPI Number Information
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NPI Number | 1265427280
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Entity Type | Individual
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Provider Name | JESUS L MARTINEZ ANP
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Gender | Male
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 141 VINTON RD STE E5
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City | VINTON
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State | TX
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Zip | 79821-8810
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Country | US
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Telephone | 915-886-3088
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Fax | 915-886-3022
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Provider Business Mailing Address
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Address Line | P.O. BOX 3467
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City | ANTHONY
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State | NM
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Zip | 88021-3467
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Country | US
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Telephone | 915-886-3088
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Fax | 915-866-3022
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 241509
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 241509
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 241509
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License Number State | TX
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