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General NPI Number Information
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NPI Number | 1275324535
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Entity Type | Individual
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Provider Name | DAJAH MARTIN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 801 N MARKET ST
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City | WILMINGTON
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State | DE
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Zip | 19801-3095
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Country | US
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Telephone | 212-385-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 4 PHEASANT CT
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City | COLUMBUS
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State | NJ
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Zip | 08022-2336
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Country | US
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Telephone | 609-906-4505
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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 | RN324957
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License Number State | GA
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