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General NPI Number Information
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NPI Number | 1427569391
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Entity Type | Individual
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Provider Name | MARY E BARTLETT LISW-S
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Gender | Female
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 50 W. TOWN STREET
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City | COLUMBUS
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State | OH
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Zip | 43215
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Country | US
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Telephone | 614-752-5305
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 182709
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City | COLUMBUS
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State | OH
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Zip | 43218-2709
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | OH
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