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General NPI Number Information
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NPI Number | 1003641291
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Entity Type | Individual
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Provider Name | FRANCE LINE MARTIAL
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Gender | Female
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 190 NE 199TH ST
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City | MIAMI
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State | FL
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Zip | 33179-2927
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Country | US
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Telephone | 786-589-7840
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Fax | 305-391-3551
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Provider Business Mailing Address
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Address Line | 618 NW 46TH AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-2117
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Country | US
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Telephone | 561-303-9355
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11034861
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License Number State | FL
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