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General NPI Number Information
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NPI Number | 1255337200
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Entity Type | Individual
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Provider Name | AMY GREEN MARTIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 8201 PRESTON RD STE 520
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City | DALLAS
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State | TX
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Zip | 75225-6210
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Country | US
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Telephone | 214-764-5585
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Fax | 214-308-2022
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Provider Business Mailing Address
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Address Line | 8201 PRESTON RD STE 520
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City | DALLAS
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State | TX
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Zip | 75225-6210
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Country | US
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Telephone | 214-764-5585
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Fax | 214-824-3353
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | K9345
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License Number State | TX
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