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General NPI Number Information
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NPI Number | 1346371119
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Entity Type | Organization
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Legal Business Name | BARTE MEDICAL GROUP, INC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23928 LYONS AVE STE 204
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City | NEWHALL
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State | CA
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Zip | 91321-2455
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Country | US
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Telephone | 661-288-1358
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Fax | 661-288-1472
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Provider Business Mailing Address
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Address Line | PO BOX 220243
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City | NEWHALL
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State | CA
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Zip | 91322-0243
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Country | US
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Telephone | 661-288-1358
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Fax | 661-288-1472
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Authorized Official
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Title or Position | OWNER
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Name | OPHELIA G BARTE
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Credential | M.D.
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Telephone | 661-288-1358
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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 | A43189
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License Number State | CA
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