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General NPI Number Information
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NPI Number | 1851411532
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Entity Type | Individual
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Provider Name | ROBERT BOYD BARTELT MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 1631 LOGAN AVE
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City | WATERLOO
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State | IA
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Zip | 50703
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Country | US
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Telephone | 319-833-5381
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Fax | 319-833-5386
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Provider Business Mailing Address
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Address Line | 4150 KIMBALL AVENUE PO BOX 2758
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City | WATERLOO
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State | IA
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Zip | 50704-2758
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Country | US
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Telephone | 319-235-5390
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Fax | 319-235-5607
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 49664
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 39175
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License Number State | IA
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