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General NPI Number Information
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NPI Number | 1679929111
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Entity Type | Individual
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Provider Name | BRANDI ALEXANDRIA MARTINEZ CNP
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Gender | Female
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 199 WILLIAM HOWARD TAFT RD
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City | CINCINNATI
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State | OH
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Zip | 45219-2103
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Country | US
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Telephone | 513-616-8774
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Fax | 513-861-0105
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Provider Business Mailing Address
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Address Line | 2020 ANDERSON FERRY RD STE A
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City | CINCINNATI
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State | OH
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Zip | 45238-3371
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Country | US
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Telephone | 513-347-6100
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.18973-NP
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License Number State | OH
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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 | RN356643
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License Number State | OH
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