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NPI 1205994894

NPI 1205994894 : FLOR MARTI DDS : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1205994894
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    Entity Type          |    Individual 
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    Provider Name        |    FLOR MARTI DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/05/2006
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    Last Update Date     |    02/09/2016
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Provider Practice Location Address
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    Address Line         |    202 E WOODLAWN RD SUITE144B
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28217-2213
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    Country              |    US
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    Telephone            |    704-523-1462
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    Fax                  |    704-523-1558
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Provider Business Mailing Address
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    Address Line         |    2258 W ROOSEVELT BLVD STE A
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    City                 |    MONROE
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    State                |    NC
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    Zip                  |    28110-3090
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    Country              |    US
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    Telephone            |    704-291-7100
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    7889
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    License Number State |    NC
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