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General NPI Number Information
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NPI Number | 1346735545
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Entity Type | Individual
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Provider Name | NNONYEM D'MARTIN
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Gender | Male
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 4013 CAPITAL DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-3123
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Country | US
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Telephone | 252-443-7083
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Fax |
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Provider Business Mailing Address
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Address Line | 186 GUMTOP DR.
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City | ZEBULON
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State | NC
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Zip | 27597
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P15802
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8231
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License Number State | SC
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