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General NPI Number Information
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NPI Number | 1477705390
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Entity Type | Organization
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Legal Business Name | YANIRA M.MARTINEZ, M.D., P.A.
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 100 E ALTON GLOOR BLVD STE B VALLEY REGIONAL MEDICAL PLAZA STE 270
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3354
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Country | US
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Telephone | 956-350-9222
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Fax |
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Provider Business Mailing Address
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Address Line | 100B E. ALTON GLOOR BLVD STE 270
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3356
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Country | US
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Telephone | 956-350-9222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YANIRA M MARTINEZ
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Credential | M.D.
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Telephone | 956-350-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L7473
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License Number State | TX
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