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General NPI Number Information
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NPI Number | 1861178303
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Entity Type | Individual
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Provider Name | NADINE MARTINEZ MSW
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Gender | Female
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 1647 SW 108TH WAY
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City | DAVIE
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State | FL
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Zip | 33324-7175
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Country | US
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Telephone | 954-393-4391
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 954-393-4391
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW24997
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License Number State | FL
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