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General NPI Number Information
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NPI Number | 1477518405
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Entity Type | Individual
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Provider Name | LAWRENCE P BARTEL PA
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 05/01/2014
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Provider Practice Location Address
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Address Line | 1777 NE LOOP 410 STE 704
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5217
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Country | US
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Telephone | 210-467-5033
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Fax | 210-467-5035
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Provider Business Mailing Address
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Address Line | PO BOX 637999
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City | CINCINNATI
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State | OH
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Zip | 45263-7999
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Country | US
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Telephone | 317-682-2030
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Fax | 317-644-5060
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 10000331A
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License Number State | IN
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