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General NPI Number Information
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NPI Number | 1669565743
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Entity Type | Organization
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Legal Business Name | THE MARTIN CENTER, PC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 4621 MORRISON DR
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City | MOBILE
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State | AL
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Zip | 36609-3353
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Country | US
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Telephone | 251-344-7474
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Fax | 251-414-3015
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Provider Business Mailing Address
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Address Line | 4621 MORRISON DR
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City | MOBILE
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State | AL
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Zip | 36609-3353
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Country | US
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Telephone | 251-344-7474
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Fax | 251-414-3015
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JANET MARTIN
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Credential |
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Telephone | 251-344-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00015159
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License Number State | AL
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