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General NPI Number Information
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NPI Number | 1902136534
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Entity Type | Individual
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Provider Name | MARTA D MARTINEZ SLP-CFY
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Gender | Female
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Dates
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Enumeration Date | 01/04/2010
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 1845NE8TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-4705
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Country | US
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Telephone | 786-410-5839
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Fax | 786-410-5837
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Provider Business Mailing Address
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Address Line | 12849SW224TH ST
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City | MIAMI
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State | FL
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Zip | 33170-6201
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Country | US
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Telephone | 786-597-3855
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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 | SZ 4953
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License Number State | FL
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