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General NPI Number Information
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NPI Number | 1104162643
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Entity Type | Organization
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Legal Business Name | DAVID J BARTH P.C.
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Dates
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Enumeration Date | 01/02/2013
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 5455 S FORT APACHE RD STE 108-9
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City | LAS VEGAS
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State | NV
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Zip | 89148-6408
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Country | US
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Telephone | 855-722-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 5455 S FORT APACHE RD STE 108-9
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City | LAS VEGAS
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State | NV
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Zip | 89148-6408
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID BARTH
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Credential |
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Telephone | 855-722-7747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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