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General NPI Number Information
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NPI Number | 1255849014
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Entity Type | Individual
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Provider Name | FRANK MARTELL DMD, MPH, MS
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Gender | Male
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Dates
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Enumeration Date | 01/15/2018
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Last Update Date | 01/15/2018
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Provider Practice Location Address
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Address Line | 4 CARR 165
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City | TOA ALTA
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State | PR
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Zip | 00953-2338
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Country | US
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Telephone | 787-870-5225
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Fax |
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Provider Business Mailing Address
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Address Line | HC 71 BOX 2926
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City | NARANJITO
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State | PR
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Zip | 00719-9432
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Country | US
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Telephone | 787-932-4463
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 1361
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License Number State | PR
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