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General NPI Number Information
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NPI Number | 1659575025
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Entity Type | Individual
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Provider Name | GREG NORMAN BARTOSIEWICZ A.P.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4360 NORTHLAKE BLVD SUITE 106
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-6274
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Country | US
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Telephone | 561-626-8723
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Fax |
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Provider Business Mailing Address
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Address Line | 17029 38TH LANE NORTH
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-3653
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Country | US
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Telephone | 561-793-1472
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Fax | 561-626-8733
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2305
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License Number State | FL
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