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General NPI Number Information
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NPI Number | 1437351756
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Entity Type | Individual
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Provider Name | SUSAN E BARTLEMAY R.PH.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 8282 PARK LN
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City | DALLAS
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State | TX
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Zip | 75231-6023
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Country | US
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Telephone | 214-987-0452
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Fax | 214-346-0401
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Provider Business Mailing Address
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Address Line | 400 HAMPTON DR
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City | ALLEN
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State | TX
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Zip | 75013-3630
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Country | US
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Telephone | 972-207-4922
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Fax | 469-519-0343
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18311
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License Number State | TX
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