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General NPI Number Information
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NPI Number | 1417929563
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Entity Type | Individual
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Provider Name | HAL DAVID MARTIN DO
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 411 N WASHINGTON AVE SUITE 7300
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City | DALLAS
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State | TX
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Zip | 75246-1713
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Country | US
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Telephone | 214-820-9520
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Fax | 214-820-9516
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Provider Business Mailing Address
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Address Line | 3900 JUNIUS ST STE 500
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City | DALLAS
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State | TX
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Zip | 75246-1621
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Country | US
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Telephone | 214-820-9520
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Fax | 214-820-9516
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2934
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | P2144
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License Number State | TX
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