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General NPI Number Information
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NPI Number | 1629151576
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Entity Type | Individual
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Provider Name | LAWRENCE JAMES BARTLEY JR. MSW
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 127 JONNYCAKE HILL ROAD
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City | MIDDLETOWN
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State | RI
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Zip | 02842
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Country | US
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Telephone | 401-846-1213
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Fax |
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Provider Business Mailing Address
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Address Line | 2 SPINDRIFT ST
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City | JAMESTOWN
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State | RI
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Zip | 02835-2534
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Country | US
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Telephone | 401-423-3169
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW00035
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License Number State | RI
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