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General NPI Number Information
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NPI Number | 1811855828
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Entity Type | Individual
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Provider Name | KARI MARLENE MARTIN LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 284 RACEBROOK RD STE 223&224
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City | ORANGE
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State | CT
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Zip | 06477-3103
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Country | US
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Telephone | 860-743-8187
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Fax |
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Provider Business Mailing Address
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Address Line | 126 NUTMEG RD
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City | BRIDGEPORT
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State | CT
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Zip | 06610-1336
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Country | US
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Telephone | 203-209-4105
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11917
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License Number State | CT
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