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General NPI Number Information
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NPI Number | 1255342143
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Entity Type | Individual
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Provider Name | SCOTT ROBERT BARTLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 11520 N CENTRAL EXPY STE 126
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City | DALLAS
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State | TX
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Zip | 75243-6652
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Country | US
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Telephone | 214-396-4844
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Fax | 214-341-9997
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Provider Business Mailing Address
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Address Line | 11520 N CENTRAL EXPY STE 126
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City | DALLAS
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State | TX
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Zip | 75243-6652
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Country | US
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Telephone | 214-396-4844
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Fax | 214-341-9997
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L9617
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License Number State | TX
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