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General NPI Number Information
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NPI Number | 1255483996
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Entity Type | Individual
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Provider Name | BARBARA ANNE MARTIN RN, FNP
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 6065 STATE HIGHWAY 193
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City | GEORGETOWN
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State | CA
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Zip | 95634-9623
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Country | US
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Telephone | 530-333-2548
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Fax |
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Provider Business Mailing Address
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Address Line | 10470 OLD PLACERVILLE RD SUITE 100
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City | SACRAMENTO
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State | CA
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Zip | 95827-2539
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Country | US
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Telephone | 855-771-0335
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN209038
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License Number State | CA
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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 | RN209038
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License Number State | CA
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