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General NPI Number Information
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NPI Number | 1083171045
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Entity Type | Individual
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Provider Name | ARIANNA CURTIS BARTLESON MLS (ASCP)MT
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Gender | Female
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Dates
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Enumeration Date | 02/26/2019
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 1014 DURBAN DR
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City | GROVETOWN
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State | GA
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Zip | 30813-2243
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Country | US
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Telephone | 850-490-1598
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 DURBAN DR
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City | GROVETOWN
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State | GA
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Zip | 30813-2243
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Country | US
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Telephone | 850-490-1598
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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 | 246QM0706X
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Taxonomy Name | Medical Technologist
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License Number | 49448
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 246QM0706X
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Taxonomy Name | Medical Technologist
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License Number | 260613
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License Number State |
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