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General NPI Number Information
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NPI Number | 1801703087
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Entity Type | Individual
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Provider Name | MCKENZIE ANDREW MARTIN
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 2255 ROBINSON RD SE
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-8683
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Country | US
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Telephone | 740-505-2311
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Fax |
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Provider Business Mailing Address
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Address Line | 2255 ROBINSON RD SE
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-8683
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.496913
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License Number State | OH
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