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General NPI Number Information
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NPI Number | 1851787105
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Entity Type | Individual
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Provider Name | MARTA ELISABETH DAHLE BRINGHURST DO
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Gender | Female
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 25 N JOHNSON ST
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City | COATS
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State | NC
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Zip | 27521-8407
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Country | US
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Telephone | 910-897-6423
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Fax |
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Provider Business Mailing Address
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Address Line | 25 N JOHNSON ST
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City | COATS
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State | NC
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Zip | 27521-8407
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Country | US
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Telephone | 910-897-6423
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2019-01972
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 2019-01972
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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