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General NPI Number Information
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NPI Number | 1518631415
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Entity Type | Individual
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Provider Name | ASHLEY MARTIN N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 4320 FAYETTEVILLE RD STE A
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City | LUMBERTON
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State | NC
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Zip | 28358-2707
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Country | US
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Telephone | 910-738-9599
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Fax | 910-738-9549
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Provider Business Mailing Address
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Address Line | 11350 MCCORMICK RD EXECUTIVE PLAZA 1, STE. 501
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City | HUNT VALLEY
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State | MD
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Zip | 21031
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5014943
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License Number State | NC
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