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General NPI Number Information
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NPI Number | 1962491373
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Entity Type | Individual
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Provider Name | MARTA MARIE LITTLE MD
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Gender | Female
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 1100 6TH ST STE 203
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City | CORALVILLE
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State | IA
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Zip | 52241-1757
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Country | US
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Telephone | 319-339-3850
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Fax | 319-339-3871
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Provider Business Mailing Address
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Address Line | DEPT. 453 PO BOX 1000
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 828-575-2625
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Fax | 828-350-2174
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 24377
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MD-24377
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License Number State | IA
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