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General NPI Number Information
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NPI Number | 1134307887
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Entity Type | Organization
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Legal Business Name | BARTOL BIOCIC M.D. PC
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1135 W UNIVERSITY DR SUITE 300
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City | ROCHESTER
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State | MI
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Zip | 48307-1871
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Country | US
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Telephone | 248-652-3050
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Fax | 248-652-4829
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Provider Business Mailing Address
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Address Line | 1135 W UNIVERSITY DR SUITE 300
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City | ROCHESTER
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State | MI
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Zip | 48307-1871
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Country | US
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Telephone | 248-652-3050
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Fax | 248-652-4829
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BARTOL BIOCIC
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Credential | M.D.
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Telephone | 248-652-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301033484
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License Number State | MI
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