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General NPI Number Information
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NPI Number | 1659244366
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Entity Type | Individual
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Provider Name | WILLIAM EUGENE MARTIN III LAC
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Gender | Male
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 214 WORCESTER PROVIDENCE TPKE
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City | SUTTON
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State | MA
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Zip | 01590-2902
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Country | US
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Telephone | 508-865-5068
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Fax |
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Provider Business Mailing Address
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Address Line | 511 PARK AVE APT 3
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City | WORCESTER
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State | MA
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Zip | 01603-2534
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Country | US
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Telephone | 207-295-3984
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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