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General NPI Number Information
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NPI Number | 1417174012
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Entity Type | Individual
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Provider Name | EMILY CHRISTINE BARTELL D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 242 N. YORK RD. SUITE #201
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City | ELMHURST
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State | IL
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Zip | 60126-2747
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Country | US
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Telephone | 630-832-3120
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Fax | 630-832-3730
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Provider Business Mailing Address
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Address Line | 242 N. YORK RD. SUITE #201
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City | ELMHURST
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State | IL
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Zip | 60126-2747
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Country | US
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Telephone | 630-832-3120
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Fax | 630-832-3730
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019027038
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License Number State | IL
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