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General NPI Number Information
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NPI Number | 1669831384
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Entity Type | Individual
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Provider Name | JANETTE MARTINEZ CRIMINAL JUSTICE
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Gender | Female
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 1785 E SAHARA AVE STE 340
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City | LAS VEGAS
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State | NV
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Zip | 89104-3717
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Country | US
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Telephone | 702-433-0063
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Fax | 702-433-0593
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Provider Business Mailing Address
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Address Line | 1810 E SAHARA AVE STE 112
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City | LAS VEGAS
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State | NV
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Zip | 89104-3707
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Country | US
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Telephone | 702-738-6230
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Fax | 702-472-8619
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NV
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