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General NPI Number Information
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NPI Number | 1912124405
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Entity Type | Individual
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Provider Name | DOUG ALAN BARTELS BS, MA
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8711 VILLAGE DR SUITE 109
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5418
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Country | US
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Telephone | 210-297-2725
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Fax | 210-297-0215
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Provider Business Mailing Address
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Address Line | 707 ARCH STONE
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City | SAN ANTONIO
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State | TX
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Zip | 78258-2353
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Country | US
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Telephone | 210-497-7152
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1092328
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License Number State | TX
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