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General NPI Number Information
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NPI Number | 1316726912
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Entity Type | Individual
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Provider Name | ARTHUR BRADLEY MARTIN RN
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Gender | Male
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 2200 GOOD HOPE RD
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City | ENOLA
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State | PA
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Zip | 17025-1210
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Country | US
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Telephone | 717-981-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 5066 GREEN MEADOW DR
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City | HELENA
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State | MT
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Zip | 59602-6901
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Country | US
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Telephone | 140-620-2684
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | NUR-RN-LIC-159896
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License Number State | MT
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