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General NPI Number Information
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NPI Number | 1134773815
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Entity Type | Individual
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Provider Name | JAY R BARTLETT DAOM, DCCM, MACOM
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Gender | Male
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 24405 WILDERNESS OAK BLDG E
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7874
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Country | US
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Telephone | 512-971-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 25839 BIG BLUESTEM
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City | SAN ANTONIO
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State | TX
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Zip | 78261-2831
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Country | US
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Telephone | 512-971-8686
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 170233
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License Number State | TX
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