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General NPI Number Information
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NPI Number | 1760663595
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Entity Type | Organization
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Legal Business Name | SYLVAN BARTLETT PA
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 5419 N LOVINGTON HWY COMPLEX 5, SUITE 7
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City | HOBBS
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State | NM
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Zip | 88240-9131
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Country | US
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Telephone | 575-392-0404
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Fax | 575-393-0093
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Provider Business Mailing Address
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Address Line | 1900 PECAN VALLEY DR
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City | MCKINNEY
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State | TX
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Zip | 75070-8313
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Country | US
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Telephone | 214-592-0404
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Fax | 214-592-0404
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SYLVAN BARTLETT
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Credential | M.D.
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Telephone | 575-392-0404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | E7810
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 87317
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License Number State | NM
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