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General NPI Number Information
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NPI Number | 1093463085
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Entity Type | Individual
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Provider Name | MARTHA KEITH ND
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Gender | Female
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Dates
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Enumeration Date | 03/17/2022
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 12725 W INDIAN SCHOOL RD STE E101
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City | AVONDALE
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State | AZ
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Zip | 85392-9525
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Country | US
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Telephone | 480-299-2601
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Fax | 808-481-0935
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Provider Business Mailing Address
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Address Line | 2210 S MILL AVE STE 8A
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City | TEMPE
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State | AZ
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Zip | 85282-2153
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Country | US
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Telephone | 480-299-2601
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Fax | 808-481-0935
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND-342
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 24-1866
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License Number State | AZ
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