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General NPI Number Information
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NPI Number | 1568482297
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Entity Type | Individual
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Provider Name | ROBERT R MARTIN P.A.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2115 CENTERPOINTE PKWY
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City | SANTA MARIA
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State | CA
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Zip | 93455-1334
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Country | US
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Telephone | 805-346-7230
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Fax | 805-346-7272
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Provider Business Mailing Address
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Address Line | 300 N SAN ANTONIO RD
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1316
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Country | US
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Telephone | 805-681-5461
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Fax | 805-681-5200
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA13976
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License Number State | CA
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