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General NPI Number Information
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NPI Number | 1871913822
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Entity Type | Organization
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Legal Business Name | RALPH W MARTIN ED. D. PC
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 12700 HILLCREST RD SUITE 212
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City | DALLAS
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State | TX
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Zip | 75230-2033
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Country | US
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Telephone | 214-691-2136
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Fax | 214-691-5380
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Provider Business Mailing Address
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Address Line | 12700 HILLCREST RD SUITE 212
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City | DALLAS
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State | TX
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Zip | 75230-2033
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Country | US
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Telephone | 214-691-2136
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Fax | 214-691-5380
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. HEATH MORROW
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Credential |
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Telephone | 214-801-8280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 06313
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License Number State | TX
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