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General NPI Number Information
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NPI Number | 1720290760
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Entity Type | Organization
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Legal Business Name | MARTINEZ CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 3460 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-2462
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Country | US
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Telephone | 352-686-1686
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Fax | 352-686-3186
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Provider Business Mailing Address
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Address Line | 10520 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34608-5046
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Country | US
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Telephone | 352-686-1686
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. ROBERT J MARTINEZ
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Credential | D.C.
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Telephone | 352-686-1686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8957
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License Number State | FL
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