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General NPI Number Information
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NPI Number | 1487728432
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Entity Type | Individual
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Provider Name | PAULA J. MARTIN-FLETCHER D.D.S., P.A.
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1415 BRECKENRIDGE DR STE B
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City | LITTLE ROCK
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State | AR
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Zip | 72227-4864
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Country | US
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Telephone | 501-227-6453
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Fax | 501-227-6551
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Provider Business Mailing Address
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Address Line | 1415 BRECKENRIDGE DR STE B
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City | LITTLE ROCK
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State | AR
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Zip | 72227-4864
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Country | US
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Telephone | 501-227-6453
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Fax | 501-227-6551
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3087
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License Number State | AR
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