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General NPI Number Information
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NPI Number | 1841220696
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Entity Type | Individual
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Provider Name | ROBERT LAING BARTLETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 149 RUDDER CT
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City | LEXINGTON
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State | SC
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Zip | 29072-9794
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Country | US
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Telephone | 803-957-7697
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Fax |
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Provider Business Mailing Address
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Address Line | 149 RUDDER CT
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City | LEXINGTON
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State | SC
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Zip | 29072-9794
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Country | US
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Telephone | 803-957-7697
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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 | 10579
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number | 10579
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License Number State | SC
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