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General NPI Number Information
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NPI Number | 1104643287
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Entity Type | Organization
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Legal Business Name | TKMARTIN CONSULTING LLC
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Dates
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Enumeration Date | 09/20/2024
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 1200 2ND ST
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City | SACRAMENTO
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State | CA
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Zip | 95814-3234
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Country | US
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Telephone | 646-575-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 1548 68TH AVE
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City | SACRAMENTO
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State | CA
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Zip | 95822-4745
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Country | US
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Telephone | 646-575-8200
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | TIFFANY MARTIN
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Credential |
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Telephone | 646-575-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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