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General NPI Number Information
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NPI Number | 1780919027
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Entity Type | Individual
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Provider Name | JANIE MARTINEZ AVILA RN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 25000 US 59 RD
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City | EL CAMPO
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State | TX
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Zip | 77437-5478
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Country | US
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Telephone | 979-314-9250
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Fax |
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Provider Business Mailing Address
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Address Line | 199 SPENCER RD
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City | WHARTON
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State | TX
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Zip | 77488-1139
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Country | US
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Telephone | 979-543-6251
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 678190
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP118295
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License Number State | TX
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