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General NPI Number Information
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NPI Number | 1487071817
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Entity Type | Organization
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Legal Business Name | TERESA MARTINEZ,M.D.,PA
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 7811 SW 24TH ST STE 137
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City | MIAMI
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State | FL
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Zip | 33155-6540
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Country | US
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Telephone | 305-446-3534
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Fax | 786-363-1179
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Provider Business Mailing Address
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Address Line | 7811 SW 24TH ST STE 137
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City | MIAMI
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State | FL
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Zip | 33155-6540
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Country | US
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Telephone | 305-446-3534
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Fax | 786-363-1179
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LOIDA GARCIA
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Credential |
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Telephone | 305-218-4128
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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 | ME56767
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License Number State | FL
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