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General NPI Number Information
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NPI Number | 1457083545
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Entity Type | Individual
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Provider Name | LATIFA BARTI MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 11161 RANDOLPH ST
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City | CROWN POINT
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State | IN
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Zip | 46307-8564
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Country | US
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Telephone | 219-662-9424
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Fax | 219-662-7465
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Provider Business Mailing Address
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Address Line | PO BOX 781076
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City | DETROIT
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State | MI
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Zip | 48278-1076
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 125.080918
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01096526A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01096526A
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License Number State | IN
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