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General NPI Number Information
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NPI Number | 1265582290
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Entity Type | Individual
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Provider Name | MARTIN A BAZI MD
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 1200 CHILDRENS AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4637
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Country | US
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Telephone | 405-271-2429
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Fax | 405-271-2421
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Provider Business Mailing Address
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Address Line | 5841 S MARYLAND AVE # MC1099
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City | CHICAGO
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State | IL
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Zip | 60637-1447
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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 | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | V0918
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 036094372
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 43929
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License Number State | OK
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