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General NPI Number Information
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NPI Number | 1710590336
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Entity Type | Individual
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Provider Name | BARBARAH JACKLYN MARTINEZ APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 6701 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2608
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Country | US
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Telephone | 832-824-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 4520 READING RD STE A-200
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City | ROSENBERG
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State | TX
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Zip | 77471-2581
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Country | US
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Telephone | 832-612-4884
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Fax | 832-471-1818
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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 | 1010536
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License Number State | TX
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