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General NPI Number Information
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NPI Number | 1285574921
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Entity Type | Individual
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Provider Name | ESTEBAN MARTINEZ III OTD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 912 E NOLANA LOOP
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City | PHARR
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State | TX
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Zip | 78577-5838
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Country | US
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Telephone | 956-787-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 1216 E ACACIA DR
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City | SAN JUAN
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State | TX
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Zip | 78589
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Country | US
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Telephone | 509-750-5392
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 126368
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License Number State | TX
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