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General NPI Number Information
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NPI Number | 1376275313
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Entity Type | Individual
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Provider Name | IZAMARA ISABEL MARTINEZ GUTIERREZ APRN
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Gender | Female
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1680 W 60TH ST APT 1
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City | HIALEAH
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State | FL
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Zip | 33012-6816
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Country | US
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Telephone | 786-740-9653
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Fax |
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Provider Business Mailing Address
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Address Line | 1680 W 60TH ST APT 1
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City | HIALEAH
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State | FL
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Zip | 33012-6816
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Country | US
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Telephone | 786-740-9653
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11040526
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | CBHCM104470
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License Number State | FL
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