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General NPI Number Information
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NPI Number | 1720665862
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Entity Type | Individual
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Provider Name | BOBBI JO MARTINEZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 2281 S MAIN ST
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-6503
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Country | US
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Telephone | 937-592-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 410 MARANATHA DR
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City | MARYSVILLE
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State | OH
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Zip | 43040-5519
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Country | US
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Telephone | 260-570-3169
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03129614
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License Number State | OH
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