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General NPI Number Information
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NPI Number | 1558551127
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Entity Type | Individual
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Provider Name | THOMAS WADE MARTIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 2010 PATTON CHAPEL RD SUITE 200
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City | HOOVER
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State | AL
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Zip | 35216-5782
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Country | US
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Telephone | 205-208-9001
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Fax | 205-208-0031
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Provider Business Mailing Address
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Address Line | 2010 PATTON CHAPEL RD SUITE 200
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City | HOOVER
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State | AL
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Zip | 35216-5782
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Country | US
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Telephone | 205-208-9001
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Fax | 205-208-0031
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | BP20028797
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD27909
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 27909
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | BP20028797
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MD27909
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 27909
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License Number State | AL
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