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General NPI Number Information
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NPI Number | 1396897443
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Entity Type | Individual
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Provider Name | MARTIN JOHN KENDRA RPH
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Gender | Male
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 330 W MAIN ST
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City | BIRDSBORO
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State | PA
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Zip | 19508-1900
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Country | US
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Telephone | 610-582-4005
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Fax | 610-404-4512
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Provider Business Mailing Address
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Address Line | 8 HASTINGS LN
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City | SPRING CITY
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State | PA
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Zip | 19475-8614
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Country | US
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Telephone | 610-495-0055
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Fax | 610-495-0177
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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 | RP030102L
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License Number State | PA
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