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General NPI Number Information
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NPI Number | 1508656349
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Entity Type | Individual
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Provider Name | BEATRIZ LOPEZ MARTINEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 2562 KINARD ST
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City | NEWBERRY
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State | SC
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Zip | 29108-2910
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Country | US
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Telephone | 803-630-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 1182 CROSSHILL LN
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City | NEWBERRY
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State | SC
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Zip | 29108-4104
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Country | US
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Telephone | 803-944-0351
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 30342
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License Number State | SC
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