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General NPI Number Information
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NPI Number | 1891121273
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Entity Type | Individual
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Provider Name | MARTIN OBRIEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/17/2013
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Last Update Date | 09/17/2013
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Provider Practice Location Address
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Address Line | 7827 S FOREST ST
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City | CENTENNIAL
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State | CO
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Zip | 80122-3821
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Country | US
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Telephone | 303-773-2394
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Fax |
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Provider Business Mailing Address
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Address Line | 7827 S FOREST ST
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City | CENTENNIAL
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State | CO
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Zip | 80122-3821
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Country | US
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Telephone | 303-773-2394
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 20251
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License Number State | CO
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