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General NPI Number Information
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NPI Number | 1609928456
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Entity Type | Individual
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Provider Name | MICHAEL W BARTOSZEK M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | WAMC BLDG 2 PAIN CLINIC 2817 REILLY RD STOP A
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City | FORT BRAGG
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State | NC
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Zip | 28310-7301
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Country | US
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Telephone | 910-907-6542
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Fax |
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Provider Business Mailing Address
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Address Line | WAMC BLDG 2 DEPT SURGERY 2817 ROCK MERRITT AVE
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City | FORT BRAGG
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State | NC
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Zip | 28310-7301
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 175334
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 175334
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License Number State | NC
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