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General NPI Number Information
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NPI Number | 1578415469
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Entity Type | Individual
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Provider Name | BRIAN OBED GARCIA-MARTINEZ
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Gender | Male
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 923 1ST AVE OFC
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City | SOUTH SIOUX CITY
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State | NE
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Zip | 68776-2263
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Country | US
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Telephone | 712-577-3790
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Fax |
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Provider Business Mailing Address
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Address Line | 105 N 115TH STREET SUITE 202
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City | OMAHA
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State | NE
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Zip | 68154
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Country | US
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Telephone |
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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