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General NPI Number Information
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NPI Number | 1164562203
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Entity Type | Individual
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Provider Name | MARTIN ATROPS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/02/2010
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Provider Practice Location Address
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Address Line | 18548 TALARIK DR
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City | EAGLE RIVER
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State | AK
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Zip | 99577-8313
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Country | US
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Telephone | 907-272-7600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 240327
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City | ANCHORAGE
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State | AK
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Zip | 99524-0327
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Country | US
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Telephone | 907-272-7600
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 241
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License Number State | AK
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