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General NPI Number Information
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NPI Number | 1578013504
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Entity Type | Individual
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Provider Name | DEBRA KAY MARTI FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 8 TOWN CENTER DR
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City | BOWLING GREEN
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State | MO
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Zip | 63334-2803
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Country | US
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Telephone | 573-324-2241
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Fax | 573-324-9854
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Provider Business Mailing Address
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Address Line | 8 TOWN CENTER DR
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City | BOWLING GREEN
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State | MO
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Zip | 63334-2803
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Country | US
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Telephone | 573-324-2241
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Fax | 573-324-9854
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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 | APRN9356255
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License Number State | FL
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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 | 2019019298
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN57161
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 57161
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License Number State | NM
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