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General NPI Number Information
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NPI Number | 1790022507
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Entity Type | Organization
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Legal Business Name | DR. BARBARA MARTINEZ MD PA
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Dates
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Enumeration Date | 01/14/2013
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 17900 NW 5TH ST STE 205
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2809
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Country | US
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Telephone | 954-367-3157
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Fax |
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Provider Business Mailing Address
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Address Line | 17900 NW 5TH ST STE 205
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2809
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Country | US
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Telephone | 954-367-3157
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Fax |
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Authorized Official
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Title or Position | MD
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Name | BARBARA R MARTINEZ ESCOBAR
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Credential | MD
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Telephone | 954-367-3157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME103476
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License Number State | FL
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