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General NPI Number Information
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NPI Number | 1306886304
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Entity Type | Individual
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Provider Name | MICHAEL MARTELLI D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 08/14/2017
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Provider Practice Location Address
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Address Line | 275 N EL CIELO RD STE D-402
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6972
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Country | US
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Telephone | 310-650-6729
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Fax | 760-775-5604
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Provider Business Mailing Address
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Address Line | 4849 RONSON CT STE 217
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City | SAN DIEGO
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State | CA
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Zip | 92111-1805
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Country | US
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Telephone | 858-279-1212
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Fax | 858-279-1420
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 20A4955
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License Number State | CA
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