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General NPI Number Information
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NPI Number | 1023929353
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Entity Type | Individual
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Provider Name | MARTIN PAN HONG PA - C
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Gender | Male
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 232 W 25TH ST
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City | ERIE
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State | PA
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Zip | 16544-0001
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Country | US
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Telephone | 814-452-5354
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Fax |
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Provider Business Mailing Address
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Address Line | 604 CHESTNUT ST APT 11
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City | ERIE
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State | PA
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Zip | 16502-1309
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Country | US
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Telephone | 425-312-9512
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | PA
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