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General NPI Number Information
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NPI Number | 1467964254
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Entity Type | Individual
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Provider Name | MIGUEL ANGEL MARTINEZ-SIERRA NP
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Gender | Male
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 416 BROADWAY
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City | CHULA VISTA
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State | CA
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Zip | 91910-4304
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Country | US
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Telephone | 194-271-1446
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Fax | 619-427-1185
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Provider Business Mailing Address
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Address Line | 9373 HAZARD WAY STE 200
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City | SAN DIEGO
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State | CA
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Zip | 92123-1226
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Country | US
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Telephone | 858-810-8025
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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 | 95007913
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License Number State | CA
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