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General NPI Number Information
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NPI Number | 1962913830
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Entity Type | Individual
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Provider Name | YVETTE MARIE MARTINEZ ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 7585 KITTY HAWK STE 201
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City | CONVERSE
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State | TX
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Zip | 78109
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Country | US
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Telephone | 210-468-2333
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Fax | 210-667-4044
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Provider Business Mailing Address
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Address Line | 7585 KITTY HAWK STE 201
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City | CONVERSE
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State | TX
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Zip | 78109-2820
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Country | US
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Telephone | 210-468-2333
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Fax | 210-667-4044
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9360091
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP137562
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License Number State | TX
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