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NPI 1043235260

NPI 1043235260 : MARTIN JOHNS : FARRELL, PA

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General NPI Number Information
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    NPI Number           |    1043235260
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    Entity Type          |    Individual 
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    Provider Name        |    MARTIN JOHNS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    07/20/2021
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Provider Practice Location Address
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    Address Line         |    2000 MEMORIAL DR 
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    City                 |    FARRELL
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    State                |    PA
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    Zip                  |    16121-1366
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    Country              |    US
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    Telephone            |    724-528-2513
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    200 LOTHROP ST SUITE 9055 FORBES TOWER
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15213-2536
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    Country              |    US
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    Telephone            |    
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD439400
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    License Number State |    PA
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