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General NPI Number Information
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NPI Number | 1700044658
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Entity Type | Individual
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Provider Name | DIETER KARL BARTSCHAT M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 863 WILLOW COVE RD
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City | CHAPIN
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State | SC
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Zip | 29036
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Country | US
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Telephone | 803-549-8349
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Fax |
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Provider Business Mailing Address
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Address Line | 619 19TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35249-1900
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD36426
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License Number State | SC
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