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General NPI Number Information
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NPI Number | 1770707697
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Entity Type | Individual
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Provider Name | GAIL CHARMAINE MARTIN PT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 4554 E HIGHWAY 20
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City | NICEVILLE
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State | FL
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Zip | 32578-9755
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Country | US
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Telephone | 850-897-7772
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Fax | 888-308-1539
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Provider Business Mailing Address
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Address Line | PO BOX 1772
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City | NICEVILLE
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State | FL
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Zip | 32588-1772
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Country | US
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Telephone | 850-897-7772
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Fax | 888-308-1539
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017164
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT29220
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License Number State | FL
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