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General NPI Number Information
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NPI Number | 1396467106
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Entity Type | Organization
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Legal Business Name | MARTEM LLC
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/07/2024
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Provider Practice Location Address
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Address Line | 821 POPPIE LN
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-2798
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Country | US
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Telephone | 469-625-7208
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 DAJA LN APT 1306
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-7651
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Country | US
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Telephone | 469-625-7208
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ESTHER OLAYINKA AWOSOGBA
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Credential | RN
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Telephone | 347-335-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WV0202X
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Taxonomy Name | Vehicle Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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