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General NPI Number Information
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NPI Number | 1447467436
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Entity Type | Organization
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Legal Business Name | GEORGE D MARTINEZ MD INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 13729 RESEARCH BLVD SUITE 890
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City | AUSTIN
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State | TX
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Zip | 78750-2268
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Country | US
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Telephone | 512-250-5577
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Fax | 512-250-5590
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Provider Business Mailing Address
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Address Line | 13450 N HWY 183 SUITE 100
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City | AUSTIN
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State | TX
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Zip | 78750-3239
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Country | US
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Telephone | 512-250-5577
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Fax | 512-250-5590
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Authorized Official
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Title or Position | MD
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Name | GEORGE DAVID MARTINEZ
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Credential | MD
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Telephone | 512-250-5577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F6912
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License Number State | TX
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