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General NPI Number Information
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NPI Number | 1649624404
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Entity Type | Individual
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Provider Name | KARRIE MARTIN APRN
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Gender | Female
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Dates
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Enumeration Date | 04/19/2016
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 508 UPLAND ST
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City | KENAI
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State | AK
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Zip | 99611-8026
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Country | US
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Telephone | 907-335-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 213 CLEARVIEW DRIVE EXT
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City | GREER
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State | SC
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Zip | 29651-1107
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Country | US
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Telephone | 734-431-0778
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Fax | 864-442-4126
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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 | 10016905
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License Number State | OR
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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 | 25338
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 4704303950
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024187032
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License Number State | VA
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