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General NPI Number Information
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NPI Number | 1144290933
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Entity Type | Individual
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Provider Name | LIA BARTELLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 170-17 NORTHERN BLVD
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City | FLUSHING
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State | NY
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Zip | 11358-2722
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Country | US
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Telephone | 646-637-8331
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Fax | 718-539-4021
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Provider Business Mailing Address
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Address Line | 170-17 NORTHERN BLVD
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City | FLUSHING
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State | NY
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Zip | 11358-2722
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Country | US
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Telephone | 646-637-8331
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Fax | 719-539-4021
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 001724
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License Number State | NY
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