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General NPI Number Information
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NPI Number | 1962565044
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Entity Type | Organization
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Legal Business Name | RICARDO MARTINEZ DC PC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 04/08/2010
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Provider Practice Location Address
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Address Line | 2300 BALDWIN BLVD
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City | CORPUS CHRISTI
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State | TX
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Zip | 78405-2012
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Country | US
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Telephone | 361-884-6609
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Fax | 361-884-7317
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Provider Business Mailing Address
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Address Line | 2300 BALDWIN BLVD
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City | CORPUS CHRISTI
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State | TX
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Zip | 78405-2012
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Country | US
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Telephone | 361-884-6609
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Fax | 361-884-7317
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | RICARDO S MARTINEZ
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Credential | D.C.
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Telephone | 361-884-6609
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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 | 2936
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License Number State | TX
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