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General NPI Number Information
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NPI Number | 1528778016
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Entity Type | Individual
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Provider Name | DANIEL JAMES MARTIN
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Gender | Male
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Dates
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Enumeration Date | 11/25/2022
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 9120 SPANISH MOSS WAY UNIT 521
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-2940
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Country | US
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Telephone | 781-307-5904
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Fax |
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Provider Business Mailing Address
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Address Line | 3759 WHIDBEY WAY
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City | NAPLES
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State | FL
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Zip | 34119-7520
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Country | US
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Telephone | 781-307-5904
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 11023715
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License Number State | FL
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