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General NPI Number Information
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NPI Number | 1407896608
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Entity Type | Individual
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Provider Name | JOANNE CLEMENTINE MARTIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 457 SOUTH ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6453
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Country | US
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Telephone | 973-540-1128
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Fax | 973-984-0416
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Provider Business Mailing Address
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Address Line | 457 SOUTH ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6453
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Country | US
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Telephone | 973-540-1128
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Fax | 973-984-0416
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MA31423
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License Number State | NJ
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