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General NPI Number Information
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NPI Number | 1699738385
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Entity Type | Individual
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Provider Name | MARTIN J BACKMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 11180 WARNER AVE STE 259
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City | SANTA ANA
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State | CA
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Zip | 92708-7516
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Country | US
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Telephone | 714-540-1840
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Fax | 714-540-2319
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Provider Business Mailing Address
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Address Line | 11180 WARNER AVE STE 259
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7516
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Country | US
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Telephone | 714-540-1840
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A 44638
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License Number State | CA
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