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General NPI Number Information
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NPI Number | 1093140006
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Entity Type | Individual
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Provider Name | BOBBY BARTLETT PHARM D
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Gender | Male
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 1806 S MINNESOTA AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57105-2811
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Country | US
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Telephone | 605-221-0578
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Fax |
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Provider Business Mailing Address
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Address Line | 600 S BERRETTA LN
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City | SIOUX FALLS
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State | SD
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Zip | 57106-7826
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Country | US
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Telephone | 337-281-8266
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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 | 5800
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License Number State | SD
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