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General NPI Number Information
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NPI Number | 1225946494
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Entity Type | Individual
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Provider Name | MILDRED LORRAINE BARTLEY APRN
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 2105 SW 20TH PL
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City | OCALA
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State | FL
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Zip | 34471-7734
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Country | US
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Telephone | 352-622-4251
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Fax |
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Provider Business Mailing Address
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Address Line | 1514 MOSS AVE
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City | LEESBURG
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State | FL
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Zip | 34748-3114
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Country | US
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Telephone | 574-527-6627
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 11050489
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License Number State | FL
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