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General NPI Number Information
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NPI Number | 1780890319
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Entity Type | Organization
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Legal Business Name | MARSHALL ORTHOPEDICS PC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 38 ROWE DR
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-7367
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Country | US
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Telephone | 256-571-8913
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Fax | 256-571-8918
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Provider Business Mailing Address
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Address Line | 38 ROWE DR
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-7367
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Country | US
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Telephone | 256-571-8913
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Fax | 256-571-8918
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD C MARTIN JR.
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Credential | M.D.
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Telephone | 256-571-8913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD.15004
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License Number State | AL
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