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General NPI Number Information
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NPI Number | 1881998151
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Entity Type | Individual
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Provider Name | ANDREA LEA MARTINEZ SLP
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Gender | Female
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Dates
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Enumeration Date | 12/30/2010
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Last Update Date | 12/30/2010
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Provider Practice Location Address
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Address Line | 9505 NORTHPOINTE BLVD
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City | SPRING
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State | TX
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Zip | 77379-3799
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Country | US
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Telephone | 281-569-2999
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Fax |
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Provider Business Mailing Address
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Address Line | 7733 FORSYTH BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63105-1817
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Country | US
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Telephone | 314-863-7422
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 16562
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License Number State | TX
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