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General NPI Number Information
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NPI Number | 1083168207
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Entity Type | Individual
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Provider Name | BRIAN BARTLETT PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 8907 KARVER LN
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City | ANNANDALE
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State | VA
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Zip | 22003-4116
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Country | US
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Telephone | 970-314-1666
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Fax |
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Provider Business Mailing Address
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Address Line | 22 MAIN ST
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City | WESTERNPORT
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State | MD
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Zip | 21562-1439
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Country | US
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Telephone | 301-359-3778
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20604
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License Number State | MD
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