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General NPI Number Information
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NPI Number | 1528927027
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Entity Type | Organization
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Legal Business Name | MARTIN HEALTH GROUP LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 3015 HIGHWAY 956
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City | ETHEL
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State | LA
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Zip | 70730
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Country | US
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Telephone | 601-441-2926
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Fax |
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Provider Business Mailing Address
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Address Line | 607 OLD HIGHWAY 24 W
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City | KOKOMO
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State | MS
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Zip | 39643-5052
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Country | US
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Telephone | 601-441-2926
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | TIMOTHY MARTIN
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Credential | FNP
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Telephone | 601-441-2926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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