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General NPI Number Information
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NPI Number | 1831787399
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Entity Type | Organization
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Legal Business Name | BARTOLOMUCCI FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 01/08/2021
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 120 VILLAGE DR
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City | GREENSBURG
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State | PA
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Zip | 15601-3787
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Country | US
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Telephone | 244-205-9287
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Fax | 724-219-3120
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Provider Business Mailing Address
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Address Line | 120 VILLAGE DR
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City | GREENSBURG
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State | PA
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Zip | 15601-3787
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Country | US
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Telephone | 412-554-8451
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | KEVIN MICHAEL BARTOLOMUCCI
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Credential | DO
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Telephone | 724-420-5928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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