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General NPI Number Information
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NPI Number | 1205779600
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Entity Type | Individual
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Provider Name | BAR FORTE REZNIK
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Gender | Female
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 1900 MATLOCK RD BLDG 1
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City | MANSFIELD
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State | TX
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Zip | 76063-4391
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Country | US
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Telephone | 682-628-0277
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Fax |
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Provider Business Mailing Address
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Address Line | 3828 STOCKPORT DR
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City | PLANO
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State | TX
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Zip | 75025-3816
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Country | US
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Telephone | 469-500-8292
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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