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General NPI Number Information
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NPI Number | 1336839364
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Entity Type | Individual
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Provider Name | MARTIN LOUIS APT
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Gender | Male
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Dates
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Enumeration Date | 05/12/2023
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 3955 156TH ST NE
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City | MARYSVILLE
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State | WA
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Zip | 98271-4831
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Country | US
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Telephone | 844-202-5555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 602060
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City | SAN DIEGO
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State | CA
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Zip | 92160-2060
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Country | US
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Telephone | 877-840-6956
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Fax | 619-383-6701
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61440868
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 364SP0812X
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Taxonomy Name | Community Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | AP61440868
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95027841
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License Number State | CA
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