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General NPI Number Information
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NPI Number | 1295275238
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Entity Type | Individual
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Provider Name | CAROLYN EMILY MARTIN APRN, FNP, ENP
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Gender | Female
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 16100 SOUTH FWY
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City | PEARLAND
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State | TX
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Zip | 77584-1895
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Country | US
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Telephone | 713-413-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 16100 SOUTH FWY
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City | PEARLAND
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State | TX
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Zip | 77584-1895
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Country | US
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Telephone | 713-413-6500
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Fax | 512-692-2838
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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 | AP133389
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | AP133389
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License Number State | TX
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