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General NPI Number Information
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NPI Number | 1265154371
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Entity Type | Individual
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Provider Name | MARTHA MWALE MULENGA
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Gender | Female
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 8405 W ALAMEDA AVE
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City | LAKEWOOD
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State | CO
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Zip | 80226-2908
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Country | US
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Telephone | 720-547-9162
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Fax |
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Provider Business Mailing Address
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Address Line | 11 E ORANGE GROVE RD APT 1723
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City | TUCSON
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State | AZ
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Zip | 85704-5525
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Country | US
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Telephone | 856-885-3059
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RNP280586
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License Number State | AZ
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