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General NPI Number Information
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NPI Number | 1023169141
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Entity Type | Individual
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Provider Name | JOHN SCOTT MARTIN-JOY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 875 MASSACHUSETTS AVE STE 22
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City | CAMBRIDGE
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State | MA
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Zip | 02139-3070
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Country | US
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Telephone | 617-417-6902
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Fax | 315-821-8567
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Provider Business Mailing Address
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Address Line | 875 MASSACHUSETTS AVE STE 22
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City | CAMBRIDGE
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State | MA
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Zip | 02139-3070
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Country | US
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Telephone | 617-417-6902
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Fax | 315-821-8567
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 210262
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License Number State | MA
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