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General NPI Number Information
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NPI Number | 1306413034
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Entity Type | Individual
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Provider Name | LIUVIS L MARTINEZ DMD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 1127 DEL PRADO BLVD S STE D
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City | CAPE CORAL
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State | FL
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Zip | 33990-3692
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Country | US
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Telephone | 239-842-6771
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 LIBERTY PARK DR APT 2206
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City | CAPE CORAL
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State | FL
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Zip | 33909-3707
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Country | US
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Telephone | 786-543-1522
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN25902
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License Number State | FL
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