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NPI 1548113657

NPI 1548113657 : GABRIELLA MARTINEZ-MORENO DN : LOS RANCHOS, NM

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General NPI Number Information
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    NPI Number           |    1548113657
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    Entity Type          |    Individual 
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    Provider Name        |    GABRIELLA MARTINEZ-MORENO DN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/18/2026
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    Last Update Date     |    02/18/2026
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Provider Practice Location Address
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    Address Line         |    7516 4TH ST NW 
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    City                 |    LOS RANCHOS
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    State                |    NM
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    Zip                  |    87107-6630
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    Country              |    US
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    Telephone            |    505-620-9318
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1517 31ST ST SE 
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    City                 |    RIO RANCHO
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    State                |    NM
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    Zip                  |    87124-1951
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    Country              |    US
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    Telephone            |    505-620-9318
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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        |    172P00000X
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    Taxonomy Name        |    Naprapath
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    License Number       |    DN2025-002
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    License Number State |    NM
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