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General NPI Number Information
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NPI Number | 1750476214
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Entity Type | Individual
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Provider Name | SARA IRINA MARTINEZ LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 298 SW 3RD STREET
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City | BOCA RATON
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State | FL
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Zip | 33432
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Country | US
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Telephone | 561-470-2217
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Fax | 954-427-1312
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Provider Business Mailing Address
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Address Line | SARA MARTINEZ LMHC 21301 POWERLINE ROAD-SUITE 209
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City | BOCA RATON
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State | FL
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Zip | 33433
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Country | US
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Telephone | 561-901-7700
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Fax | 954-427-1312
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH6255
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License Number State | FL
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