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General NPI Number Information
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NPI Number | 1033115886
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Entity Type | Individual
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Provider Name | DAWN MICHELLE MARTIN O.D
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Gender | Female
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 6343 E MAIN ST STE 7
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City | MESA
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State | AZ
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Zip | 85205-8955
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Country | US
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Telephone | 480-832-0030
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Fax | 480-924-7268
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Provider Business Mailing Address
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Address Line | 8614 WESTWOOD CENTER DR FL 9
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City | VIENNA
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State | VA
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Zip | 22182-2442
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Country | US
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Telephone | 703-847-8899
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Fax | 571-223-6780
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-000815
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License Number State | AZ
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