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General NPI Number Information
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NPI Number | 1225482466
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Entity Type | Individual
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Provider Name | MATTHEW BARTOW D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 701 S CAPITAL OF TEXAS HWY STE Q900
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5263
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Country | US
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Telephone | 512-324-6970
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Fax | 512-324-6971
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Provider Business Mailing Address
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Address Line | 701 S CAPITAL OF TEXAS HWY STE Q900
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5263
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Country | US
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Telephone | 512-324-6970
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Fax | 512-324-6971
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S5840
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | S5840
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License Number State | TX
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