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General NPI Number Information
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NPI Number | 1902078868
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Entity Type | Organization
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Legal Business Name | FRANCISCO A MARTINEZ PEDIATRICS PC
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 27 W MERRICK RD
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City | FREEPORT
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State | NY
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Zip | 11520-3826
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Country | US
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Telephone | 516-223-3195
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Fax | 516-223-3196
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Provider Business Mailing Address
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Address Line | 63 HUNGRY HARBOR RD
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City | VALLEY STREAM
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State | NY
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Zip | 11581-2510
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Country | US
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Telephone | 516-223-3195
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Fax | 516-291-6209
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANCISCO A MARTINEZ
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Credential | M.D.
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Telephone | 516-223-3195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 209764
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License Number State | NY
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