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General NPI Number Information
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NPI Number | 1427237478
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Entity Type | Individual
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Provider Name | MONICA C MARTIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 161 MADISON AVE SUITE 11
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 212-213-5811
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Fax |
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Provider Business Mailing Address
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Address Line | 401 W 56TH ST SUITE 4E
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City | NEW YORK
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State | NY
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Zip | 10019-3611
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Country | US
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Telephone | 212-213-5811
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 148324
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License Number State | NY
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