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General NPI Number Information
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NPI Number | 1114331576
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Entity Type | Individual
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Provider Name | PATRICIA BARTLEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195
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Country | US
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Telephone | 216-844-7320
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Fax |
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Provider Business Mailing Address
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Address Line | 37805 49TH AVE S
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City | AUBURN
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State | WA
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Zip | 98001-9447
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Country | US
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Telephone | 206-920-0780
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 35.134.472
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License Number State | OH
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