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General NPI Number Information
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NPI Number | 1316504236
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Entity Type | Individual
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Provider Name | ALEXANDER CHARLES MARTIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2019
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 4501 MEDICAL CENTER DR STE 100
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City | MCKINNEY
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State | TX
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Zip | 75069-6942
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Country | US
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Telephone | 972-548-8195
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Fax | 469-247-0032
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Provider Business Mailing Address
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Address Line | 1405 RED CLOVER AVE
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City | VAN ALSTYNE
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State | TX
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Zip | 75495-4509
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Country | US
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Telephone | 936-499-8340
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Fax |
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | V1545
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License Number State | TX
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