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General NPI Number Information
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NPI Number | 1871546077
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Entity Type | Individual
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Provider Name | SANDRA D. MARTIN CNM
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 701 E DAVIS ST STE. A.
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City | CONROE
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State | TX
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Zip | 77301-3018
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Country | US
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Telephone | 936-525-2800
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Fax | 936-539-4668
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Provider Business Mailing Address
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Address Line | 301 UNIVERSITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77555-5302
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Country | US
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Telephone | 409-747-0890
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Fax | 409-772-0885
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 435310
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License Number State | TX
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