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General NPI Number Information
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NPI Number | 1801859434
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Entity Type | Individual
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Provider Name | JAMES RICK MARTIN D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 1807 W FRANK SUITE 100
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City | LUFKIN
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State | TX
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Zip | 75904
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Country | US
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Telephone | 936-634-1746
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Fax | 936-634-1746
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Provider Business Mailing Address
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Address Line | PO BOX 150337
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City | LUFKIN
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State | TX
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Zip | 75915-0037
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Country | US
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Telephone | 936-634-1746
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Fax | 936-634-1746
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F9779
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License Number State | TX
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