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General NPI Number Information
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NPI Number | 1881953404
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Entity Type | Individual
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Provider Name | LINDSAY RAE BARTRAM D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1248 HUFFMAN MILL RD STE 101
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-272-6161
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Fax | 336-230-2150
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Provider Business Mailing Address
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Address Line | 700 CHILDRENS DR
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City | COLUMBUS
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State | OH
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Zip | 43205-2664
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Country | US
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Telephone | 614-722-6200
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 2023-00136
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 34.011793
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License Number State | OH
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