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General NPI Number Information
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NPI Number | 1366936569
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Entity Type | Individual
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Provider Name | CARLOS JULIAN MARTINEZ-MENENDEZ
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Gender | Male
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 2902 HAINE DR
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City | HARLINGEN
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State | TX
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Zip | 78550
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Country | US
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Telephone | 956-296-4000
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Fax | 956-296-2842
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Provider Business Mailing Address
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Address Line | PO BOX 531968
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City | HARLINGEN
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State | TX
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Zip | 78553-1968
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Country | US
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Telephone |
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Fax | 956-296-6842
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | U8093
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License Number State | TX
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