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General NPI Number Information
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NPI Number | 1639178387
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Entity Type | Individual
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Provider Name | MARTIN VAN SLOAN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 1150 N 18TH ST STE 206
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City | ABILENE
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State | TX
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Zip | 79601
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Country | US
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Telephone | 325-695-1890
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Fax | 325-695-1665
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Provider Business Mailing Address
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Address Line | 1150 N 18TH ST STE 206
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City | ABILENE
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State | TX
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Zip | 79601-2931
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Country | US
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Telephone | 325-695-1890
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Fax | 325-695-1665
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | PD872
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PD872
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0872
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License Number State | TX
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