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General NPI Number Information
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NPI Number | 1528940061
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Entity Type | Individual
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Provider Name | JENISMARIE MARTINEZ CABAN MSW
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Gender | Female
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | CARR 2 KM 90.0 INT SECTOR ZARZA BO. PUENTE
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-327-7175
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Fax |
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Provider Business Mailing Address
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Address Line | 285 CALLE TITO RODRIGUEZ
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City | FLORIDA
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State | PR
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Zip | 00650-9324
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Country | US
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Telephone | 787-327-7115
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14996
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License Number State | PR
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