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General NPI Number Information
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NPI Number | 1750765822
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Entity Type | Individual
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Provider Name | ERIN PAO-JU MARTEN PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 8930 S SEPULVEDA BLVD SUITE 103
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City | LOS ANGELES
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State | CA
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Zip | 90045-3606
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Country | US
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Telephone | 310-670-3463
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Fax | 310-670-4038
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Provider Business Mailing Address
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Address Line | 7150 RAMSGATE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90045-2200
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Country | US
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Telephone | 310-415-7147
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Fax | 310-670-4038
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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 | 72673
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License Number State | CA
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