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General NPI Number Information
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NPI Number | 1437381571
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Entity Type | Individual
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Provider Name | EDUARDO MARTINEZ DMD
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Gender | Male
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 11/29/2015
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Provider Practice Location Address
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Address Line | 8500 W FLAGLER ST SUITE 108 A
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City | MIAMI
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State | FL
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Zip | 33144-2054
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Country | US
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Telephone | 305-551-2722
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Fax |
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Provider Business Mailing Address
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Address Line | 8260W FLAGLER ST 1B
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City | MIAMI
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State | FL
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Zip | 33144-2069
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Country | US
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Telephone | 786-281-6604
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN18359
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License Number State | FL
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