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General NPI Number Information
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NPI Number | 1245896026
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Entity Type | Organization
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Legal Business Name | M & A BARTH, LLC
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 4715 2ND AVE
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City | KEARNEY
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State | NE
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Zip | 68847-2417
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Country | US
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Telephone | 308-455-1500
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Fax | 308-455-1502
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Provider Business Mailing Address
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Address Line | 4715 2ND AVE
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City | KEARNEY
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State | NE
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Zip | 68847-2417
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Country | US
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Telephone | 308-455-1500
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Fax | 308-455-1502
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MATTHEW DOUGLAS BARTH
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Credential | PT
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Telephone | 308-455-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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