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General NPI Number Information
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NPI Number | 1366746729
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Entity Type | Individual
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Provider Name | JOHN LAWRENCE MARTINO PHARM D
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Gender | Male
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Dates
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Enumeration Date | 12/28/2010
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | 200 N GREEN ST
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City | MORGANTON
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State | NC
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Zip | 28655-3343
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Country | US
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Telephone | 828-437-3141
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Fax | 828-437-9189
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Provider Business Mailing Address
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Address Line | 5007 ORCHARD PARK DR
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City | HICKORY
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State | NC
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Zip | 28602-7238
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Country | US
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Telephone | 828-294-2133
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Fax | 828-437-9189
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18311
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License Number State | NC
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