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General NPI Number Information
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NPI Number | 1245675800
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Entity Type | Individual
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Provider Name | GEOFFREY V MARTIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 808 W DIAMOND AVE STE 650
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1413
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Country | US
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Telephone | 240-364-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 25 CROSSROADS DR STE 306
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5437
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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 |
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35.134191
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | D95725
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License Number State | MD
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