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General NPI Number Information
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NPI Number | 1669461554
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Entity Type | Individual
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Provider Name | JAMES BARTHEL D.D.S.,M.S.
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 925 HIGHWAY 55 STE 202
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City | HASTINGS
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State | MN
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Zip | 55033-3734
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Country | US
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Telephone | 651-437-3262
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Fax | 651-437-7684
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Provider Business Mailing Address
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Address Line | 925 HIGHWAY 55 STE 202
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City | HASTINGS
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State | MN
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Zip | 55033-3734
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Country | US
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Telephone | 651-437-3262
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Fax | 651-437-7684
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | D7655
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License Number State | MN
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