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General NPI Number Information
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NPI Number | 1730132671
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Entity Type | Organization
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Legal Business Name | ROBERT P. MARTINI JR, D.C.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1243 SKYTOP MOUNTAIN RD SUITE1
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City | PORT MATILDA
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State | PA
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Zip | 16870-7719
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Country | US
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Telephone | 814-238-6300
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Fax | 814-238-0976
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Provider Business Mailing Address
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Address Line | 1243 SKYTOP MOUNTAIN RD SUITE1
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City | PORT MATILDA
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State | PA
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Zip | 16870-7719
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Country | US
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Telephone | 814-238-6300
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Fax | 814-238-0976
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT P MARTINI JR.
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Credential | D.O.
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Telephone | 814-238-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC005430L
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License Number State | PA
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