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General NPI Number Information
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NPI Number | 1205083110
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Entity Type | Organization
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Legal Business Name | JAMES B MARTIN MD LLC
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 1103 HANLEY RD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3108
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Country | US
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Telephone | 228-875-3097
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Fax | 228-875-3299
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Provider Business Mailing Address
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Address Line | 1103 HANLEY RD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3108
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Country | US
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Telephone | 228-875-3097
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Fax | 228-875-3299
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. JAMES BURKE MARTIN
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Credential | MD
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Telephone | 228-875-3097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | MS5001
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License Number State | MS
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