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General NPI Number Information
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NPI Number | 1396082426
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Entity Type | Individual
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Provider Name | JENNIFER KRISTEN BARTZ PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 116 W BURLESON RD
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City | MART
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State | TX
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Zip | 76664-1107
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Country | US
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Telephone | 254-297-8395
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 ANLO AVE
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City | WACO
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State | TX
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Zip | 76710-4954
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Country | US
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Telephone | 254-716-5449
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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