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General NPI Number Information
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NPI Number | 1699877324
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Entity Type | Individual
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Provider Name | MARTIN DAVID JEFFRIES M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 920 E HIGH ST STE 201
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4850
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Country | US
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Telephone | 434-654-2870
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E HOSPITAL ROAD OBGYN DEPARTMENT
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City | FT. GORDON
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State | GA
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Zip | 30905-3089
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Country | US
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Telephone | 706-787-7445
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 026875
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 026875
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 026875
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License Number State | GA
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