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General NPI Number Information
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NPI Number | 1356532543
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Entity Type | Individual
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Provider Name | JULIE ELIZABETH MARTIN MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 120 N EAGLE CREEK DR STE 360
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City | LEXINGTON
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State | KY
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Zip | 40509-1827
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Country | US
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Telephone | 859-258-5270
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Fax | 859-258-5202
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Provider Business Mailing Address
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Address Line | 1221 S BROADWAY
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City | LEXINGTON
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State | KY
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Zip | 40504-2701
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Country | US
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Telephone | 859-258-6200
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Fax | 859-258-6402
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD.208214
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | N0249
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | TP422
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License Number State | KY
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