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General NPI Number Information
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NPI Number | 1366493447
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Entity Type | Individual
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Provider Name | LINDA D MARTIN MD
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Gender | Female
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 1408 S BROAD ST FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19146-4808
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Country | US
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Telephone | 215-755-0700
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Fax | 215-755-6474
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Provider Business Mailing Address
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Address Line | 432 N 6TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19123-4004
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Country | US
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Telephone | 215-925-2400
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Fax | 215-925-9162
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD023560E
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License Number State | PA
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