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General NPI Number Information
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NPI Number | 1881948248
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Entity Type | Organization
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Legal Business Name | PATRICIA MARTINEZ LLC
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 817 W PARK ROW
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City | ARLINGTON
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State | TX
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Zip | 76013-5710
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Country | US
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Telephone | 817-360-6844
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Fax | 817-303-0685
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Provider Business Mailing Address
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Address Line | 817 W PARK ROW
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City | ARLINGTON
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State | TX
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Zip | 76013-5710
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Country | US
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Telephone | 817-360-6844
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Fax | 817-303-0685
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA MARTINEZ
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Credential | M.S., CCC-SLP
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Telephone | 817-360-6844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | TX
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