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General NPI Number Information
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NPI Number | 1205266681
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Entity Type | Individual
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Provider Name | MS. ROSEMARIE MARTIN
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Gender | Female
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 3456 W BASIN AVE
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City | PAHRUMP
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State | NV
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Zip | 89060-5080
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Country | US
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Telephone | 775-727-2543
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Fax |
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Provider Business Mailing Address
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Address Line | 3456 W BASIN AVE
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City | PAHRUMP
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State | NV
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Zip | 89060-5080
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Country | US
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Telephone | 775-727-2543
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Fax |
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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