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General NPI Number Information
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NPI Number | 1316021488
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Entity Type | Individual
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Provider Name | JAMES F. MARTIN MD
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 630 W MAPLE ST
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City | FARMINGTON
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State | NM
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Zip | 87401-6113
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Country | US
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Telephone | 505-609-6349
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844088
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City | DALLAS
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State | TX
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Zip | 75284-4088
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Country | US
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Telephone | 505-609-2258
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Fax | 505-609-2259
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | C36054
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD2017-0501
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MED-PHYS-LIC-79859
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License Number State | MT
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