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General NPI Number Information
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NPI Number | 1114363249
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Entity Type | Individual
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Provider Name | CHRISTOPHER JAMES JOSEPH MARTIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 9320 US HIGHWAY 301 S STE 350
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City | RIVERVIEW
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State | FL
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Zip | 33578-6300
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Country | US
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Telephone | 813-328-2070
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Fax | 813-768-9197
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Provider Business Mailing Address
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Address Line | 3417 W HAWTHORNE RD
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City | TAMPA
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State | FL
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Zip | 33611-2941
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Country | US
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Telephone | 443-254-6557
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 49558
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License Number State | AZ
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