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General NPI Number Information
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NPI Number | 1497271209
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Entity Type | Individual
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Provider Name | MR. ANGEL A MARTINEZ
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Gender | Male
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3235 NW 2ND ST UNIT 104
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City | POMPANO BEACH
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State | FL
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Zip | 33069
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Country | US
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Telephone | 954-864-4855
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Fax |
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Provider Business Mailing Address
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Address Line | 3235 NW 2ND ST APT 104
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City | POMPANO BEACH
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State | FL
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Zip | 33069-2646
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Country | US
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Telephone | 954-864-4855
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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