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General NPI Number Information
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NPI Number | 1013869189
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Entity Type | Individual
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Provider Name | GARY L MARTIN MA
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Gender | Male
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 2315 6TH AVE
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City | TACOMA
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State | WA
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Zip | 98403-1050
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Country | US
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Telephone | 253-564-2220
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Fax | 253-564-2221
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Provider Business Mailing Address
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Address Line | 2315 6TH AVE
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City | TACOMA
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State | WA
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Zip | 98403-1050
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Country | US
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Telephone | 253-564-2220
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Fax | 253-564-2221
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MASS.MA.70031703
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License Number State | WA
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