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General NPI Number Information
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NPI Number | 1992979157
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Entity Type | Organization
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Legal Business Name | JORGE A. MARTINEZ, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 39755 MURRIETA HOT SPRINGS RD STE E120
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City | MURRIETA
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State | CA
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Zip | 92563-9115
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Country | US
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Telephone | 951-461-1307
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Fax | 951-461-1307
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Provider Business Mailing Address
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Address Line | 39755 MURRIETA HOT SPRINGS RD STE E120
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City | MURRIETA
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State | CA
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Zip | 92563-9151
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Country | US
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Telephone | 951-461-1331
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Fax | 951-461-1307
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JORGE A MARTINEZ
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Credential | M.D.
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Telephone | 951-461-1331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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