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General NPI Number Information
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NPI Number | 1033631163
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Entity Type | Individual
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Provider Name | JAMIE MARIE MARTINKOVIC CNP
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Gender | Female
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 234 GOODMAN ST
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City | CINCINNATI
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State | OH
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Zip | 45219-2364
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Country | US
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Telephone | 513-558-4831
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Fax | 513-558-4858
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Provider Business Mailing Address
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Address Line | 2830 VICTORY PARKWAY ML 806
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City | CINCINNATI
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State | OH
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Zip | 45263-1723
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Country | US
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Telephone | 513-245-3104
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Fax | 513-585-5511
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.020607
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License Number State | OH
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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 | ARPN.CNP.020607
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License Number State | OH
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