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General NPI Number Information
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NPI Number | 1043214687
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Entity Type | Individual
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Provider Name | BRYAN K BARTLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 301 E WENDOVER AVE SUITE 411
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City | GREENSBORO
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State | NC
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Zip | 27401-1230
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Country | US
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Telephone | 336-832-3200
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Fax | 336-832-3201
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Provider Business Mailing Address
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Address Line | 1200 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1004
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Country | US
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Telephone | 336-832-3200
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Fax | 336-832-3201
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 9400714
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 9400714
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License Number State | NC
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