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General NPI Number Information
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NPI Number | 1306474275
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Entity Type | Individual
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Provider Name | IRENE MARIE MARTINEZ RN
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Gender | Female
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 7401 DEER WOOD ST
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City | UNION CITY
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State | GA
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Zip | 30291-1173
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Country | US
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Telephone | 714-349-2128
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Fax |
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Provider Business Mailing Address
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Address Line | 7401 DEER WOOD ST
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City | UNION CITY
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State | GA
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Zip | 30291-1173
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Country | US
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Telephone |
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | RN260195
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License Number State | GA
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