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General NPI Number Information
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NPI Number | 1316358328
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Entity Type | Individual
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Provider Name | NORMAN KEITH BARTMESS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 1223 PHOENIX ST.
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City | SOUTH HAVEN
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State | MI
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Zip | 49090
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Country | US
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Telephone | 236-639-3510
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 236 843 CENTER STREET
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City | DOUGLAS
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State | MI
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Zip | 49406-0236
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Country | US
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Telephone | 817-487-8659
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5302041019
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License Number State | MI
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