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General NPI Number Information
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NPI Number | 1891633939
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Entity Type | Individual
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Provider Name | MR. MICHAEL JOSEPH BARTELL
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Gender | Male
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 5945 161ST ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-1414
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Country | US
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Telephone | 718-395-4522
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Fax |
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Provider Business Mailing Address
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Address Line | 4110 BOWNE ST APT 7X
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City | FLUSHING
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State | NY
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Zip | 11355-5605
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Country | US
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Telephone | 714-931-6293
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | NY
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