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General NPI Number Information
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NPI Number | 1710314877
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Entity Type | Individual
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Provider Name | MISS CHRISTINE MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 1841 BROADWAY 4TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10023-7603
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Country | US
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Telephone | 201-951-0277
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Fax |
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Provider Business Mailing Address
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Address Line | 199 WARREN ST APT. 4C
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City | JERSEY CITY
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State | NJ
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Zip | 07302-4447
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Country | US
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Telephone | 201-951-0277
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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