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General NPI Number Information
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NPI Number | 1750242269
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Entity Type | Individual
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Provider Name | COLTON LYLE BARTUSKA DC
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Gender | Male
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1515 24TH AVE SW
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City | MINOT
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State | ND
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Zip | 58701-6984
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Country | US
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Telephone | 701-852-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 86TH ST SW
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City | MINOT
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State | ND
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Zip | 58701-8819
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1236
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License Number State | ND
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