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General NPI Number Information
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NPI Number | 1598358160
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Entity Type | Individual
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Provider Name | ROSY LUZ MARTINEZ FERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 02/15/2021
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 9371 FONTAINEBLEAU BLVD APT I121
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City | MIAMI
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State | FL
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Zip | 33172-5672
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Country | US
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Telephone | 786-278-1181
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Fax |
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Provider Business Mailing Address
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Address Line | 9371 FONTAINEBLEAU BLVD APT I121
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City | MIAMI
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State | FL
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Zip | 33172-5672
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Country | US
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Telephone | 786-278-1181
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Fax | 727-606-4886
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11011558
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11011558
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License Number State | FL
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