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General NPI Number Information
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NPI Number | 1164389524
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Entity Type | Individual
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Provider Name | AUSTIN MARTINO
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Gender | Male
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1531 ROCKFORD CT
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City | KOKOMO
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State | IN
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Zip | 46902-3207
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Country | US
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Telephone | 765-453-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 1923 N MORRISON ST
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City | KOKOMO
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State | IN
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Zip | 46901-2146
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Country | US
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Telephone | 765-244-1865
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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