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General NPI Number Information
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NPI Number | 1043180367
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Entity Type | Individual
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Provider Name | MARTHA JOHNSTON DAC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 3475 BRIARGATE BLVD STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-4188
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Country | US
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Telephone | 719-357-9448
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Fax |
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Provider Business Mailing Address
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Address Line | 3016 PROMONTORY PEAK DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-2403
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Country | US
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Telephone | 719-641-1867
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU.0002912
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License Number State | CO
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