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General NPI Number Information
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NPI Number | 1093796757
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Entity Type | Individual
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Provider Name | MARTIN L. NOVAK D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 527 SHADY AVE
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City | PITTSBURGH
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State | PA
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Zip | 15206-4437
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Country | US
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Telephone | 412-661-5000
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Fax | 412-661-4192
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Provider Business Mailing Address
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Address Line | 5804 TORRANCE DR
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City | EXPORT
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State | PA
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Zip | 15632-8803
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Country | US
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Telephone | 724-327-8279
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC004531L
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License Number State | PA
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