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General NPI Number Information
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NPI Number | 1700103868
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Entity Type | Individual
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Provider Name | RYAN CAMERON MARTIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 777 BANNOCK ST # MC3240
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City | DENVER
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State | CO
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Zip | 80204-4597
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Country | US
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Telephone | 303-436-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 601 BROADWAY ST MC3240
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City | DENVER
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State | CO
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Zip | 80203
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Country | US
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Telephone |
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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 | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 82851
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD60636162
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | DR.0070737
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 80443
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | MD60636162
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License Number State | WA
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