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General NPI Number Information
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NPI Number | 1164960696
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Entity Type | Individual
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Provider Name | RHONDA LYNN MARTIN APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 5250 17TH ST UNIT 101
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City | SARASOTA
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State | FL
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Zip | 34235-8244
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Country | US
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Telephone | 941-203-5347
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Fax |
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Provider Business Mailing Address
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Address Line | 5806 TIDEWATER PRESERVE BLVD
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City | BRADENTON
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State | FL
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Zip | 34208-5740
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Country | US
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Telephone | 816-547-6296
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Fax | 941-241-2998
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0003983-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-77638-081
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11009309
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License Number State | FL
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