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General NPI Number Information
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NPI Number | 1427068147
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Entity Type | Individual
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Provider Name | MARTIN BINKS PHD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 10/30/2011
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Provider Practice Location Address
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Address Line | 2451 CROASDAILE FARM PKWY SUITE 108
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City | DURHAM
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State | NC
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Zip | 27705-1465
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Country | US
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Telephone | 919-797-0281
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 CANTER DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-7815
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Country | US
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Telephone | 919-797-0281
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2969
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License Number State | NC
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