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General NPI Number Information
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NPI Number | 1629343702
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Entity Type | Organization
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Legal Business Name | ANN MARIE BERTLES MD PROFESSIONAL ASSOCIATION
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 23232 KINGSLAND BLVD STE E
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City | KATY
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State | TX
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Zip | 77494-2985
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Country | US
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Telephone | 832-437-9690
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Fax | 832-437-9694
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Provider Business Mailing Address
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Address Line | 23232 KINGSLAND BLVD STE E
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City | KATY
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State | TX
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Zip | 77494-2985
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Country | US
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Telephone | 832-437-9690
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Fax | 832-437-9694
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANN MARIE BERTLES
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Credential | MD
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Telephone | 832-437-9690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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