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General NPI Number Information
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NPI Number | 1700237112
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Entity Type | Individual
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Provider Name | DAVID MARTINEZ
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Gender | Male
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 1901 1ST AVE METROPOLITAN HOSPITAL CENTER DEPT OF EMERGENCY MEDICINE
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City | NEW YORK
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State | NY
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Zip | 10029-7404
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Country | US
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Telephone | 212-423-6684
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Fax |
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Provider Business Mailing Address
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Address Line | 228 E 81ST ST APT 4A
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City | NEW YORK
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State | NY
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Zip | 10028-2630
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Country | US
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Telephone | 909-720-8663
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A162176
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License Number State | CA
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