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General NPI Number Information
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NPI Number | 1750457552
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Entity Type | Individual
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Provider Name | FRANCES M. MARTINEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 516 51ST ST
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-5553
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Country | US
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Telephone | 201-867-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 9115 DURHAM AVE
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-4439
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Country | US
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Telephone | 201-868-6242
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC06705
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License Number State | NJ
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