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General NPI Number Information
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NPI Number | 1629131784
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Entity Type | Individual
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Provider Name | AMY L BARTON MD
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | UT SOUTHWESTERN MEDICAL CTR 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-9063
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Country | US
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Telephone | 214-648-3405
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Fax | 214-648-3220
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Provider Business Mailing Address
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Address Line | 190 E BANNOCK ST
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City | BOISE
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State | ID
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Zip | 83712-6241
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Country | US
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Telephone | 208-706-8526
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Fax | 214-648-3220
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD38570
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 49922
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2080C0008X
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Taxonomy Name | Child Abuse Pediatrics Physician
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License Number | N3483
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M-11758
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License Number State | ID
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