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General NPI Number Information
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NPI Number | 1841667151
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Entity Type | Individual
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Provider Name | CHARLOTTE ELIZABETH MARTIN L.AC.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 08/24/2015
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Provider Practice Location Address
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Address Line | 1330 NEW HAMPSHIRE AVE NW SUITE B-4
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City | WASHINGTON
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State | DC
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Zip | 20036-6350
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Country | US
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Telephone | 202-302-9876
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 RIGGS PL NW APT. 1
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City | WASHINGTON
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State | DC
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Zip | 20009-6007
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Country | US
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Telephone | 202-302-9876
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC500082
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License Number State | DC
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