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General NPI Number Information
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NPI Number | 1952161713
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Entity Type | Individual
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Provider Name | NASHLEY MICHELLE MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 849 W OGLETHORPE HWY STE 140
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City | HINESVILLE
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State | GA
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Zip | 31313-4495
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Country | US
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Telephone | 912-348-1388
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Fax |
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Provider Business Mailing Address
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Address Line | 154 HEARTWOOD AVE APT 1111
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City | RICHMOND HILL
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State | GA
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Zip | 31324-6933
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Country | US
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Telephone | 407-334-5509
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN123844
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License Number State | GA
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