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General NPI Number Information
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NPI Number | 1518006170
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Entity Type | Individual
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Provider Name | MARTIN R A ALUMNO MD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 3231 S NATIONAL AVE SUITE 140
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City | SPRINGFIELD
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State | MO
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Zip | 65807-7304
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Country | US
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Telephone | 417-890-4132
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Fax | 417-890-4140
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Provider Business Mailing Address
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Address Line | PO BOX 2580
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City | SPRINGFIELD
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State | MO
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Zip | 65801-2580
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Country | US
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Telephone | 417-829-4620
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 116173
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License Number State | MO
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