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General NPI Number Information
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NPI Number | 1659777357
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Entity Type | Organization
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Legal Business Name | RITA MARTINEZ, CRNFA, LLC
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 7324 GASTON AVE SUITE 124-471
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City | DALLAS
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State | TX
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Zip | 75214-6126
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Country | US
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Telephone | 214-298-8743
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Fax | 214-553-2660
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Provider Business Mailing Address
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Address Line | 7324 GASTON AVE SUITE 124-471
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City | DALLAS
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State | TX
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Zip | 75214-6126
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Country | US
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Telephone | 214-298-8743
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Fax | 214-553-2660
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Authorized Official
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Title or Position | MEMBER
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Name | RITA MARTINEZ
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Credential | CRNFA
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Telephone | 214-298-8743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 654376
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License Number State | TX
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