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General NPI Number Information
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NPI Number | 1932438595
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Entity Type | Individual
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Provider Name | ROBERT CARL MARTIN D.C., CCN, DACBN, AB
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Gender | Male
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 78-6894 KEAUPUNI ST
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City | KAILUA KONA
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State | HI
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Zip | 96740-2847
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Country | US
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Telephone | 808-322-3978
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Fax | 808-443-0466
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Provider Business Mailing Address
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Address Line | 78-6894 KEAUPUNI ST
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City | KAILUA KONA
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State | HI
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Zip | 96740-2847
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Country | US
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Telephone | 808-322-3978
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Fax | 808-443-0466
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 939
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License Number State | AZ
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