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General NPI Number Information
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NPI Number | 1235257213
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Entity Type | Individual
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Provider Name | ANDREW M BARTKOWSKI R.P.T.,M.SC.,M.B.A.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 1927 SHERMAN AVE # 3
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City | EVANSTON
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State | IL
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Zip | 60201-6100
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Country | US
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Telephone | 847-328-7316
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Fax | 847-425-5155
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Provider Business Mailing Address
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Address Line | 1927 SHERMAN AVE # 3
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City | EVANSTON
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State | IL
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Zip | 60201-6100
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Country | US
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Telephone | 847-328-7316
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Fax | 847-425-5155
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070006767
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 070006767
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License Number State | IL
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