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General NPI Number Information
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NPI Number | 1720087349
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Entity Type | Individual
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Provider Name | JUSTIN VICTOR BARTOS III M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 1604 HOSPITAL PKWY STE 402
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City | BEDFORD
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State | TX
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Zip | 76022-6932
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Country | US
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Telephone | 817-848-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 CITY POINT DRIVE SUITE 200
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-8380
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Country | US
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Telephone | 817-255-1940
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Fax | 817-255-1977
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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 | G3139
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License Number State | TX
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