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General NPI Number Information
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NPI Number | 1568684504
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Entity Type | Individual
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Provider Name | JENNIFER MARIE MARTELLO CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 707 HIGHLANDER BLVD
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City | ARLINGTON
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State | TX
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Zip | 76015
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Country | US
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Telephone | 885-416-7846
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Fax | 724-450-7011
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Provider Business Mailing Address
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Address Line | 2525 HIGHWAY 360 #28/3
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City | EULESS
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State | TX
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Zip | 76039
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Country | US
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Telephone | 724-636-9429
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP010265
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1166568
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License Number State | TX
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