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General NPI Number Information
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NPI Number | 1477274934
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Entity Type | Individual
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Provider Name | LORI MARIE BARTLETT PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 6 WOODLAND RD STE 202
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City | SAINT HELENA
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State | CA
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Zip | 94574-9501
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Country | US
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Telephone | 707-968-0670
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Fax | 707-968-9580
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Provider Business Mailing Address
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Address Line | 1487 FAIRWAY VISTA CT
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City | CALISTOGA
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State | CA
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Zip | 94515-1007
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 64112
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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