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General NPI Number Information
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NPI Number | 1447159009
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Entity Type | Individual
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Provider Name | RENEE MARIE BARTLEY PTA, LMT
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Gender | Female
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 6221 NY-31 SUITE 101B
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City | CICERO
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State | NY
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Zip | 13039
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Country | US
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Telephone | 315-212-3923
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Fax |
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Provider Business Mailing Address
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Address Line | 9660 ZUBER RD UNIT A
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City | TABERG
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State | NY
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Zip | 13471
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Country | US
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Telephone | 585-491-1641
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 029139
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 015462-01
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License Number State | NY
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