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General NPI Number Information
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NPI Number | 1841371440
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Entity Type | Organization
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Legal Business Name | PATRICK W. MARTIN P.A.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 17323 IH 35 N STE 106
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City | SCHERTZ
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State | TX
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Zip | 78154-1278
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Country | US
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Telephone | 210-646-6000
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Fax | 210-651-0665
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Provider Business Mailing Address
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Address Line | 3508 MARIETTA LN
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City | SCHERTZ
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State | TX
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Zip | 78154-1238
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Country | US
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Telephone | 210-659-7685
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Fax | 210-651-0665
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK WAYNE MARTIN
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Credential | D.C.
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Telephone | 210-646-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8969
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License Number State | TX
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