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General NPI Number Information
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NPI Number | 1740233691
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Entity Type | Individual
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Provider Name | ALBERT D. BARTHOLOMEW MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1210 US HIGHWAY 27 N
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City | LAKE PLACID
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State | FL
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Zip | 33852-7948
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Country | US
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Telephone | 863-402-3372
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 487
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City | AVON PARK
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State | FL
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Zip | 33826-0487
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Country | US
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Telephone | 863-453-7545
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME71898
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License Number State | FL
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