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General NPI Number Information
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NPI Number | 1841750072
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Entity Type | Individual
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Provider Name | YESENIA RIOS MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 2000 TYLER AVE
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City | SOUTH EL MONTE
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State | CA
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Zip | 91733-3543
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Country | US
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Telephone | 562-328-3737
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Fax |
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Provider Business Mailing Address
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Address Line | 652 MOLINAR AVE
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City | LA PUENTE
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State | CA
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Zip | 91744-4028
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Country | US
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Telephone | 626-646-8654
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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