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General NPI Number Information
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NPI Number | 1164079547
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Entity Type | Individual
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Provider Name | MARTHA KING RN
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Gender | Female
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 113 CROSBY RD STE 1
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City | DOVER
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State | NH
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Zip | 03820-4370
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Country | US
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Telephone | 603-516-9300
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Fax | 603-740-9179
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Provider Business Mailing Address
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Address Line | 113 CROSBY RD STE 1
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City | DOVER
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State | NH
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Zip | 03820-4370
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Country | US
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Telephone | 603-516-9300
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Fax | 603-740-9179
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN29366
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License Number State | ME
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