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General NPI Number Information
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NPI Number | 1841364213
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Entity Type | Organization
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Legal Business Name | L M MARTIN INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/23/2012
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Provider Practice Location Address
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Address Line | 4469 PAPALINA RD
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City | KALAHEO
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State | HI
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Zip | 96741-8503
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Country | US
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Telephone | 808-332-9130
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Fax | 808-332-5311
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Provider Business Mailing Address
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Address Line | PO BOX 948
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City | KALAHEO
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State | HI
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Zip | 96741-0948
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | JAMES MARTIN
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Credential | RPH
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Telephone | 808-332-9130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY597
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License Number State | HI
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