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General NPI Number Information
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NPI Number | 1295108041
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Entity Type | Organization
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Legal Business Name | ELIZABETH MCGEE MARTIN PHD PLLC
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Dates
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Enumeration Date | 11/02/2015
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Last Update Date | 11/02/2015
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Provider Practice Location Address
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Address Line | 319 COURT SQ
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City | SANFORD
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State | NC
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Zip | 27330-5658
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Country | US
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Telephone | 919-802-8828
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Fax |
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Provider Business Mailing Address
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Address Line | 2014 SUTPHIN RD
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City | SANFORD
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State | NC
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Zip | 27330-7631
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Country | US
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Telephone | 919-802-8828
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Fax |
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Authorized Official
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Title or Position | MANAGER/PSYCHOLOGIST
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Name | DR. ELIZABETH M. MARTIN
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Credential | PHD
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Telephone | 919-802-8828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3983
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License Number State | NC
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