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General NPI Number Information
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NPI Number | 1942843651
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Entity Type | Individual
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Provider Name | LEONELA KATHERINE MARTINEZ D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 9897 W MCDOWELL RD STE 750
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City | TOLLESON
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State | AZ
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Zip | 85353-1635
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Country | US
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Telephone | 623-257-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 12383 W WHYMAN AVE
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City | AVONDALE
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State | AZ
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Zip | 85323-1241
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Country | US
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Telephone | 323-474-5391
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 34465
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9081
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License Number State | AZ
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