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General NPI Number Information
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NPI Number | 1316014442
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Entity Type | Organization
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Legal Business Name | MARTIN MEDICAL INC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 555 116TH AVE NE STE 126
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City | BELLEVUE
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State | WA
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Zip | 98004-5233
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Country | US
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Telephone | 360-425-5334
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Fax | 360-462-5333
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Provider Business Mailing Address
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Address Line | PO BOX 11009
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City | OLYMPIA
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State | WA
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Zip | 98508-1009
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Country | US
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Telephone | 360-352-2037
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Fax | 360-352-0637
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Authorized Official
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Title or Position | OWNER
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Name | DONNA MARTIN
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Credential | ARNP
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Telephone | 425-462-5334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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