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NPI 1841270121

NPI 1841270121 : KAREN A MARTIN : ARTESIA, NM

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General NPI Number Information
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    NPI Number           |    1841270121
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    Entity Type          |    Organization 
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    Legal Business Name  |    KAREN A MARTIN 
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Dates
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    Enumeration Date     |    01/20/2006
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    Last Update Date     |    02/03/2025
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Provider Practice Location Address
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    Address Line         |    611 W MAHONE DR STE D 
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    City                 |    ARTESIA
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    State                |    NM
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    Zip                  |    88210-2075
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    Country              |    US
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    Telephone            |    575-746-1883
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    Fax                  |    575-746-1885
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Provider Business Mailing Address
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    Address Line         |    PO BOX 12 
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    City                 |    ARTESIA
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    State                |    NM
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    Zip                  |    88211-0012
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    Country              |    US
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    Telephone            |    575-746-1883
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    Fax                  |    575-746-1885
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KAREN A MARTIN 
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    Credential           |    KAREN A MARTIN
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    Telephone            |    575-746-1883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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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        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    02406754007
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    License Number State |    NM
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