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General NPI Number Information
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NPI Number | 1669463857
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Entity Type | Individual
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Provider Name | CAROLINE R MARTINEK CNP,MPH,MSN,FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 1 UNIVERSITY OF NEW MEXICO MSC06 3870
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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Country | US
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Telephone | 505-277-3136
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Fax | 505-277-2020
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Provider Business Mailing Address
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Address Line | 1304 ARVILLA AVE NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-2710
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Country | US
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Telephone | 505-288-8206
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | CNP01077
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License Number State | NM
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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 | CNP01077
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License Number State | NM
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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 | R45196
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License Number State | NM
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