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General NPI Number Information
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NPI Number | 1316504947
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Entity Type | Individual
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Provider Name | LYDIA JEAN MARTINEZ M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 7254 BLANCO RD STE 209
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4930
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Country | US
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Telephone | 210-201-6144
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Fax | 210-460-1546
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Provider Business Mailing Address
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Address Line | PO BOX 762391
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City | SAN ANTONIO
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State | TX
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Zip | 78245-7391
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Country | US
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Telephone | 210-201-6144
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Fax | 210-460-1546
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 110404
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License Number State | TX
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