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General NPI Number Information
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NPI Number | 1851209654
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Entity Type | Individual
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Provider Name | TILENA NICOLE MARTIN DNP, RN
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Gender | Female
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 5500 E LOOP 820 S STE 201B
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City | FORT WORTH
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State | TX
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Zip | 76119-6566
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Country | US
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Telephone | 225-241-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 E LOOP 820 S STE 201B
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City | FORT WORTH
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State | TX
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Zip | 76119-6566
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Country | US
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Telephone | 225-241-1337
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 793554
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License Number State | TX
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