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General NPI Number Information
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NPI Number | 1205060357
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Entity Type | Individual
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Provider Name | JULIE ANN MARTIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 1079 MARKET ST
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City | WARREN
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State | PA
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Zip | 16365-1269
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Country | US
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Telephone | 814-723-3248
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Fax | 814-726-9613
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Provider Business Mailing Address
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Address Line | 999 COUVERS CROSSING RD
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City | PITTSFIELD
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State | PA
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Zip | 16340-6637
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Country | US
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Telephone | 814-563-6354
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PP412578L
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License Number State | PA
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