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General NPI Number Information
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NPI Number | 1699617951
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Entity Type | Individual
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Provider Name | HANSELL MARTINEZ
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Gender | Male
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 695 TRUMAN HWY STE 201-202
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City | BOSTON
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State | MA
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Zip | 02136-3552
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Country | US
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Telephone | 888-763-7272
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Fax | 877-243-2959
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Provider Business Mailing Address
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Address Line | 48 KNOX ST
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City | LAWRENCE
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State | MA
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Zip | 01841-1207
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Country | US
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Telephone | 888-763-7272
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Fax | 877-243-2959
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | MA
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