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General NPI Number Information
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NPI Number | 1154943561
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Entity Type | Individual
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Provider Name | CHRISTOPHER SAMUEL MARTINEZ LMT
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Gender | Male
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 210 N MONTGOMERY AVE
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City | SHEFFIELD
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State | AL
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Zip | 35660-2707
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Country | US
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Telephone | 256-272-1895
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Fax |
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Provider Business Mailing Address
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Address Line | 708 MIDLAND AVE
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-1639
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Country | US
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Telephone |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 3280
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License Number State | AL
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