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General NPI Number Information
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NPI Number | 1104858406
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Entity Type | Individual
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Provider Name | AARON D MARTIN M.D., M.P.H
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 200 HENRY CLAY AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70118-5720
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Country | US
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Telephone | 504-896-9233
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Fax | 504-896-9861
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Provider Business Mailing Address
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Address Line | 200 HENRY CLAY AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70118-5720
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Country | US
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Telephone | 504-896-9233
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Fax | 504-896-9861
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 37554
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | MD039680
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | MD206082
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License Number State | LA
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