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General NPI Number Information
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NPI Number | 1407925381
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Entity Type | Organization
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Legal Business Name | DR. DAVID C. MARTIN, DPM,PL
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 03/21/2021
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Provider Practice Location Address
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Address Line | 905 E MARTIN LUTHER KING JR DR
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-4864
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Country | US
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Telephone | 727-572-5449
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Fax | 727-844-5425
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Provider Business Mailing Address
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Address Line | PO BOX 56
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City | PALM HARBOR
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State | FL
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Zip | 34682-0056
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Country | US
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Telephone | 275-725-4497
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Fax | 727-844-5425
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID C. MARTIN
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Credential | DPM
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Telephone | 727-540-9049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO2502
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License Number State | FL
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