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General NPI Number Information
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NPI Number | 1326381088
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Entity Type | Individual
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Provider Name | MARIANA MARTINEZ PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 4933 AUBURN AVE
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City | BETHESDA
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State | MD
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Zip | 20814-2631
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Country | US
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Telephone | 202-904-0958
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Fax |
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Provider Business Mailing Address
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Address Line | 16 OLD CREEK CT
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City | POTOMAC
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State | MD
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Zip | 20854-5529
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Country | US
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Telephone | 301-838-3482
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 05268
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 05268
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License Number State | MD
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