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General NPI Number Information
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NPI Number | 1710529995
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Entity Type | Individual
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Provider Name | JULES C MARTOWSKI PSYD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 350 ATOMIC PROJECT RD
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City | BALLSTON SPA
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State | NY
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Zip | 12020-6122
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Country | US
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Telephone | 518-884-1355
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Fax |
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Provider Business Mailing Address
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Address Line | 146 CRAMER RD
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City | BALLSTON SPA
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State | NY
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Zip | 12020-6332
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Country | US
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Telephone | 413-636-4208
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 30810007439
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License Number State | VA
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