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General NPI Number Information
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NPI Number | 1861919532
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Entity Type | Individual
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Provider Name | MRS. MARLA KAY BARTMAN
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Gender | Female
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 08/24/2017
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Provider Practice Location Address
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Address Line | 197 WINSTON DR
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1300
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Country | US
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Telephone | 630-739-0185
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Fax |
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Provider Business Mailing Address
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Address Line | 508 S ASHLAND AVE
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City | LA GRANGE
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State | IL
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Zip | 60525-2811
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Country | US
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Telephone | 708-352-4367
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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