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General NPI Number Information
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NPI Number | 1497762710
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Entity Type | Individual
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Provider Name | ISILDA RUIZ MARTINEZ PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 960 ARTHUR GODFREY RD SUITE 106
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3326
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Country | US
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Telephone | 305-803-1853
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Fax | 305-538-6567
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Provider Business Mailing Address
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Address Line | 2457 COLLINS AVE #804
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City | MIAMI BEACH
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State | FL
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Zip | 33140-4722
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Country | US
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Telephone | 305-803-1853
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Fax | 305-538-6567
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6659
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License Number State | FL
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