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General NPI Number Information
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NPI Number | 1619743069
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Entity Type | Individual
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Provider Name | JESSICA L MARTI D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 662 US-151 BUS
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City | PLATTEVILLE
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State | WI
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Zip | 53818
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Country | US
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Telephone | 608-348-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 3311 MCADAM RD
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City | CUBA CITY
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State | WI
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Zip | 53807-9804
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Country | US
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Telephone | 563-590-4459
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6140-12
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | PAR-0000145603
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License Number State | WI
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