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General NPI Number Information
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NPI Number | 1366627077
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Entity Type | Individual
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Provider Name | LINDA S MARTINEZ DDS
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Gender | Female
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 501 J ST
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City | SACRAMENTO
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State | CA
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Zip | 95814-2326
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Country | US
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Telephone | 916-323-1739
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Fax | 916-327-2476
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Provider Business Mailing Address
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Address Line | PO BOX 942883
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City | SACRAMENTO
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State | CA
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Zip | 94283-0001
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Country | US
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Telephone | 916-323-1739
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Fax | 916-327-2476
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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 | 38875
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License Number State | CA
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