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General NPI Number Information
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NPI Number | 1689101677
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Entity Type | Individual
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Provider Name | ELIZABETH REBECCA BARTA DO
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Gender | Female
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 1400 N COIT RD STE 302
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City | MCKINNEY
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State | TX
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Zip | 75071-6656
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Country | US
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Telephone | 888-803-3370
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Fax | 888-803-3331
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Provider Business Mailing Address
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Address Line | 1400 N COIT RD STE 302
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City | MCKINNEY
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State | TX
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Zip | 75071-6656
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S4920
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License Number State | TX
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