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General NPI Number Information
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NPI Number | 1154507242
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Entity Type | Individual
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Provider Name | SANDRA LOUISE MARTIN N.P.
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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 | 06/19/2018
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Provider Practice Location Address
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Address Line | 19701 KINGWOOD DR BLDG 10, ST. C
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City | KINGWOOD
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State | TX
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Zip | 77339
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Country | US
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Telephone | 281-547-4050
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Fax | 832-644-1475
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Provider Business Mailing Address
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Address Line | 19701 KINGWOOD DR. BLDG 10, ST. C
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City | KINGWOOD
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State | TX
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Zip | 77339
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Country | US
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Telephone | 281-547-4050
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Fax | 832-644-1475
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 226716
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License Number State | TX
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