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General NPI Number Information
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NPI Number | 1699550822
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Entity Type | Individual
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Provider Name | LA TOYA RENEE MARTIN BD, CBE, DFB, CPSTVI
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 1600 ROCKLAND RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3607
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Country | US
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Telephone | 302-651-6812
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Fax |
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Provider Business Mailing Address
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Address Line | 761 BACON AVE APT G
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City | DOVER
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State | DE
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Zip | 19901-2510
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Country | US
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Telephone | 757-405-2329
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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