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General NPI Number Information
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NPI Number | 1114264546
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Entity Type | Individual
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Provider Name | RONNETTE ELIZABETH MARTIN DR.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2013
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Last Update Date | 01/04/2013
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Provider Practice Location Address
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Address Line | 245 SENECA ST
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City | HARRISBURG
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State | PA
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Zip | 17110-1876
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Country | US
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Telephone | 717-592-1031
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Fax | 717-238-8732
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Provider Business Mailing Address
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Address Line | PO BOX 15402
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City | HARRISBURG
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State | PA
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Zip | 17105-5402
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Country | US
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Telephone | 717-592-1031
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Fax | 717-238-8732
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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