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NPI 1336262468

NPI 1336262468 : BRUCE D. BARNHART ATC, PTA : CALIFORNIA, PA

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General NPI Number Information
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    NPI Number           |    1336262468
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    Entity Type          |    Individual 
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    Provider Name        |    BRUCE D. BARNHART ATC, PTA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/06/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    250 UNIVERSITY AVE 
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    City                 |    CALIFORNIA
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    State                |    PA
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    Zip                  |    15419-1341
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    Country              |    US
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    Telephone            |    724-938-4562
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    Fax                  |    724-938-4342
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Provider Business Mailing Address
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    Address Line         |    119 LOCUST ST 
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    City                 |    BROWNSVILLE
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    State                |    PA
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    Zip                  |    15417-1917
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    Country              |    US
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    Telephone            |    724-785-7498
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    Fax                  |    724-938-4342
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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        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    TE006691
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    RT000071A
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    License Number State |    PA
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