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General NPI Number Information
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NPI Number | 1194737965
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Entity Type | Individual
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Provider Name | MICHAEL J BARTISS MD OD
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 1902 N SANDHILLS BLVD
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City | ABERDEEN
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State | NC
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Zip | 28315-2382
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Country | US
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Telephone | 910-692-2020
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Fax | 800-308-9356
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Provider Business Mailing Address
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Address Line | 1902 N SANDHILLS BLVD STE E
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City | ABERDEEN
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State | NC
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Zip | 28315-2347
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Country | US
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Telephone | 910-692-2020
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Fax | 800-308-9356
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 9300025
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | 9300025
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License Number State | NC
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