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General NPI Number Information
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NPI Number | 1326681305
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Entity Type | Organization
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Legal Business Name | MARTHA & COMPANY, LLC
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 121 MAIN STREET
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City | YARMOUTH
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State | ME
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Zip | 04096-6745
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Country | US
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Telephone | 207-847-0675
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Fax | 207-847-0687
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Provider Business Mailing Address
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Address Line | 121 MAIN STREET
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City | YARMOUTH
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State | ME
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Zip | 04096-6745
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Country | US
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Telephone | 207-847-0675
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Fax | 207-847-0687
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Authorized Official
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Title or Position | CERTIFIED MASTECTOMY FITTER/OWNER
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Name | KATRINA A OJAKAAR
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Credential | CMF
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Telephone | 207-847-0675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224900000X
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Taxonomy Name | Mastectomy Fitter
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License Number |
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License Number State |
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