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General NPI Number Information
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NPI Number | 1790260271
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Entity Type | Individual
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Provider Name | EMILY MARIE MARTINEZ M.S.
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Gender | Female
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 21300 RUTH AND BARON COLEMAN BLVD
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City | BACA RATON
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State | FL
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Zip | 33428
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Country | US
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Telephone | 954-278-4430
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Fax |
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Provider Business Mailing Address
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Address Line | 21300 RUTH AND BARON COLEMAN BLVD
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City | BACA RATON
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State | FL
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Zip | 33428
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Country | US
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Telephone | 954-278-4430
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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