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General NPI Number Information
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NPI Number | 1205721644
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Entity Type | Organization
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Legal Business Name | MARTIN WELLNESS GROUP
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 82 MAIN ST
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City | AMESBURY
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State | MA
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Zip | 01913-2816
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Country | US
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Telephone | 978-378-5167
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Fax |
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Provider Business Mailing Address
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Address Line | 20 PORTSMOUTH AVE STE 1 #313
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City | STRATHAM
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State | NH
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Zip | 03885-6528
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO, FOUNDER
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Name | SAMANTHA MARTIN
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Credential | LICSW
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Telephone | 978-378-5167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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