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General NPI Number Information
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NPI Number | 1477223766
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Entity Type | Individual
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Provider Name | PATRICIA NICOLE MARTIN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 201 N ILLINOIS ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1904
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 13368 E JONES RD
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City | MONROE CITY
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State | IN
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Zip | 47557-7412
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Country | US
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Telephone | 812-887-2092
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28209478A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 71011590A
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License Number State | IN
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