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General NPI Number Information
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NPI Number | 1275691263
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Entity Type | Individual
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Provider Name | MARJORIE SUE MARTIN PT
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 711 BINGHAM ST.
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City | PITTSBURGH
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State | PA
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Zip | 15203
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Country | US
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Telephone | 724-304-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 6221 ANTLER HILL DRIVE
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City | TRAFFORD
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State | PA
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Zip | 15085
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Country | US
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Telephone | 412-980-3137
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT002244E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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