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General NPI Number Information
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NPI Number | 1396188694
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Entity Type | Individual
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Provider Name | KATHERINE C. BARTUSH M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2425 HIGHWAY 121
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City | BEDFORD
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State | TX
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Zip | 76021-5013
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Country | US
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Telephone | 817-540-4477
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Fax | 817-540-5633
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Provider Business Mailing Address
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Address Line | 2425 HIGHWAY 121
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City | BEDFORD
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State | TX
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Zip | 76021-5013
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Country | US
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Telephone | 817-540-4477
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Fax | 817-540-5633
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD.36815
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | R8701
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | R8701
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License Number State | TX
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