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General NPI Number Information
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NPI Number | 1497566590
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Entity Type | Individual
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Provider Name | TERRI L MARTINSON RN
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Gender | Female
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 8502 N NEVADA ST STE 2
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City | SPOKANE
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State | WA
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Zip | 99208-7395
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Country | US
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Telephone | 509-464-4970
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Fax |
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Provider Business Mailing Address
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Address Line | 26319 N DALTON RD
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City | DEER PARK
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State | WA
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Zip | 99006-9721
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Country | US
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Telephone | 509-710-0743
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | RN60527333
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License Number State | WA
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