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General NPI Number Information
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NPI Number | 1548664022
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Entity Type | Individual
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Provider Name | CRISTIAN MARTINEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 51544 CESAR CHAVEZ ST STE 1D
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City | COACHELLA
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State | CA
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Zip | 92236-1504
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Country | US
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Telephone | 760-861-1436
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Fax |
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Provider Business Mailing Address
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Address Line | 51544 CESAR CHAVEZ ST
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City | COACHELLA
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State | CA
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Zip | 92236-1501
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Country | US
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Telephone | 760-861-1436
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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 | 95035083
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License Number State | CA
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