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General NPI Number Information
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NPI Number | 1285898205
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Entity Type | Organization
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Legal Business Name | MARTELL ENTERPRISES INC
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | AVE. FIDALGO DIAZ 4SS6 VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00982
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Country | US
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Telephone | 787-776-3511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 94
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City | CAROLINA
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State | PR
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Zip | 00986
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Country | US
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Telephone | 787-776-3511
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Fax | 787-776-2475
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILSON MARTELL
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Credential |
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Telephone | 787-776-3511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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