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General NPI Number Information
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NPI Number | 1518170067
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Entity Type | Individual
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Provider Name | LISA BARTELL DC
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 57 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3429
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Country | US
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Telephone | 954-426-3200
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Fax | 954-570-9587
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Provider Business Mailing Address
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Address Line | 57 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3429
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Country | US
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Telephone | 954-426-3200
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Fax | 954-570-9587
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2047
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8990
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License Number State | FL
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