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General NPI Number Information
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NPI Number | 1912256207
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Entity Type | Individual
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Provider Name | MR. VICTOR ORESTES MARTINEZ
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Gender | Male
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Dates
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Enumeration Date | 09/03/2012
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Last Update Date | 09/03/2012
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Provider Practice Location Address
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Address Line | 7392 NW 35TH TER STE 201-202
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City | MIAMI
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State | FL
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Zip | 33122-1271
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Country | US
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Telephone | 305-597-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 211 E 35TH ST
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City | HIALEAH
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State | FL
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Zip | 33013-2629
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Country | US
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Telephone | 305-877-1829
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | FL
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