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General NPI Number Information
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NPI Number | 1427567106
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Entity Type | Individual
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Provider Name | EMILY NATASHA MARTINO NP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 24125 TANGO DR
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City | VALENCIA
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State | CA
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Zip | 91354
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Country | US
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Telephone | 818-984-7161
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Fax |
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Provider Business Mailing Address
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Address Line | 2267 BURNSIDE ST
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City | SIMI VALLEY
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State | CA
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Zip | 93065-2516
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Country | US
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Telephone | 818-984-7161
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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 | 95007504
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License Number State | CA
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