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General NPI Number Information
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NPI Number | 1417796509
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Entity Type | Individual
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Provider Name | EMILY MARTINEZ PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 12430 EDGEMERE BLVD STE 208
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City | EL PASO
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State | TX
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Zip | 79938-4576
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Country | US
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Telephone | 915-223-6305
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Fax | 915-975-8110
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Provider Business Mailing Address
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Address Line | 5356 ISAIAS AVALOS LN
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City | EL PASO
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State | TX
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Zip | 79934-3183
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Country | US
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Telephone | 915-422-9810
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1392354
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License Number State | TX
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