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General NPI Number Information
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NPI Number | 1326073909
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Entity Type | Individual
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Provider Name | MARTIN JOHN ELBIN ACA, BC-HIS, LHAS
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 1531 GARFIELD AVE SUITE 1
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City | PARKERSBURG
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State | WV
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Zip | 26101-3244
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Country | US
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Telephone | 304-893-9484
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Fax | 304-893-9485
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Provider Business Mailing Address
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Address Line | 1531 GARFIELD AVE SUITE 1
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City | PARKERSBURG
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State | WV
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Zip | 26101-3244
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Country | US
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Telephone | 304-893-9484
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Fax | 304-893-9485
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS0001872
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License Number State | FL
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