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General NPI Number Information
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NPI Number | 1669061727
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Entity Type | Individual
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Provider Name | MELISA M MARTINEZ SLP-CF
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Gender | Female
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 9711 W OAKLAND PARK BLVD
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City | SUNRISE
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State | FL
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Zip | 33351-7013
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Country | US
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Telephone | 954-572-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 15244 SW 29TH TER
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City | MIAMI
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State | FL
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Zip | 33185-5674
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Country | US
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Telephone | 786-222-2514
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | PENDING
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License Number State | FL
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