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General NPI Number Information
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NPI Number | 1972917334
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Entity Type | Individual
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Provider Name | MARTA J PEREZ MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 836 PRUDENTIAL DR STE 1800
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8345
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Country | US
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Telephone | 904-398-7684
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Fax | 314-747-1429
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Provider Business Mailing Address
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Address Line | 836 PRUDENTIAL DR STE 1800
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8345
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Country | US
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Telephone | 904-398-7684
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2020000357
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | ME147407
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License Number State | FL
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