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General NPI Number Information
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NPI Number | 1295457943
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Entity Type | Individual
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Provider Name | CRISTINA MARTINEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 1005 KANE CONCOURSE STE 203
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154-2117
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Country | US
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Telephone | 786-540-9911
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Fax |
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Provider Business Mailing Address
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Address Line | 411 MAJORCA AVE
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City | CORAL GABLES
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State | FL
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Zip | 33134-4219
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Country | US
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Telephone | 786-877-8722
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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 | 11003993
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License Number State | FL
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