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General NPI Number Information
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NPI Number | 1669472353
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Entity Type | Individual
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Provider Name | JOHN BARTLEY MARTINEZ DC, LAC
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Gender | Male
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 12/14/2016
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Provider Practice Location Address
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Address Line | 230 SOUTH STREET (BLAIR HOUSE)
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7700
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Country | US
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Telephone | 973-455-1660
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Fax | 973-455-0084
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Provider Business Mailing Address
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Address Line | 230 SOUTH STREET (BLAIR HOUSE)
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7700
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Country | US
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Telephone | 973-455-1660
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Fax | 973-455-1660
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 38MC00268000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00268000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00123800
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 813
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License Number State | MA
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