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General NPI Number Information
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NPI Number | 1184308785
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Entity Type | Individual
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Provider Name | DEIRBHILE MARTIN MD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 1100 WALNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5563
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Country | US
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Telephone | 215-955-8666
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Fax |
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Provider Business Mailing Address
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Address Line | 221 S 12TH ST APT N304
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5553
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Country | US
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Telephone | 617-455-1842
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MT228132
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License Number State | PA
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