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General NPI Number Information
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NPI Number | 1073799136
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Entity Type | Individual
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Provider Name | SARAH A. MARTIN O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 5198 BOULDER HWY
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City | LAS VEGAS
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State | NV
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Zip | 89122-6002
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Country | US
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Telephone | 480-522-0776
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Fax |
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Provider Business Mailing Address
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Address Line | 8205 EMERALD ISLE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89128-7476
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Country | US
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Telephone | 480-522-0776
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1002
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3491AT
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License Number State | OR
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