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General NPI Number Information
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NPI Number | 1487973251
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Entity Type | Organization
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Legal Business Name | XAVIER MARTINEZ M.D.,P.C.
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 1701 W SAINT MARYS RD SUITE 151
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City | TUCSON
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State | AZ
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Zip | 85745-2621
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Country | US
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Telephone | 520-622-7706
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Fax | 520-622-4901
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Provider Business Mailing Address
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Address Line | 1701 W SAINT MARYS RD SUITE 151
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City | TUCSON
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State | AZ
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Zip | 85745-2621
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Country | US
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Telephone | 520-622-7706
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Fax | 520-622-4901
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. XAVIER V MARTINEZ
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Credential | M.D.
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Telephone | 520-622-7706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 18944
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License Number State | AZ
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