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General NPI Number Information
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NPI Number | 1609071893
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Entity Type | Individual
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Provider Name | ANGEL MARIE MARTINEZ LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 1207 SE 16TH ST.
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City | OCALA
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State | FL
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Zip | 34471-4601
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Country | US
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Telephone | 352-351-9999
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Fax | 352-351-9999
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Provider Business Mailing Address
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Address Line | 13297 SW 91ST PL
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City | DUNNELLON
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State | FL
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Zip | 34432-3716
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Country | US
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Telephone | 352-465-6078
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH7139
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License Number State | FL
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