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General NPI Number Information
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NPI Number | 1316868771
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Entity Type | Individual
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Provider Name | ALICIA MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 685 CITADEL DR E STE 325
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5326
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Country | US
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Telephone | 888-609-9892
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Fax |
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Provider Business Mailing Address
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Address Line | 117 EVERETT DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80911-1432
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Country | US
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Telephone | 719-722-0594
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CO
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