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General NPI Number Information
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NPI Number | 1154364867
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Entity Type | Organization
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Legal Business Name | MARTIMBEAU GYNECOLOGIC ONCOLOGY PA
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 330 BILLINGSLEY RD STE 202
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City | CHARLOTTE
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State | NC
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Zip | 28211
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Country | US
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Telephone | 704-334-8644
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Fax | 704-358-1466
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Provider Business Mailing Address
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Address Line | 330 BILLINGSLEY RD STE 202
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City | CHARLOTTE
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State | NC
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Zip | 28211
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Country | US
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Telephone | 704-334-8644
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Fax | 704-358-1466
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Authorized Official
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Title or Position | MD PRESIDENT
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Name | DR. PIERRE W MARTIMBEAU
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Credential | MD
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Telephone | 704-334-8644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 24267
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 24267
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License Number State | NC
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