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General NPI Number Information
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NPI Number | 1740495696
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Entity Type | Organization
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Legal Business Name | DR. MARTIN L. OKUN
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 12/16/2013
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Provider Practice Location Address
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Address Line | 12520 PROSPERITY DR SUITE 340
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City | SILVER SPRING
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State | MD
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Zip | 20904-1664
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Country | US
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Telephone | 301-388-2420
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Fax | 301-388-2201
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Provider Business Mailing Address
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Address Line | 3728 BOYD DR
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City | EDGEWATER
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State | MD
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Zip | 21037-4135
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Country | US
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Telephone | 410-798-9637
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Fax | 410-798-7895
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | MARTIN L. OKUN
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Credential | DDS, PA
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Telephone | 301-388-2420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5747
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License Number State | MD
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