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General NPI Number Information
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NPI Number | 1760062764
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Entity Type | Individual
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Provider Name | VENGIE JOAN MARTINEZ CPHT
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Gender | Female
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 512 E EDINBURG AVE
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City | ELSA
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State | TX
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Zip | 78543-3007
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Country | US
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Telephone | 956-262-9719
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Fax |
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Provider Business Mailing Address
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Address Line | 11430 N FM 88 APT A
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City | WESLACO
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State | TX
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Zip | 78599-2713
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Country | US
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Telephone | 956-376-9454
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State | TX
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