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General NPI Number Information
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NPI Number | 1912926494
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Entity Type | Individual
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Provider Name | DONALD PAUL BARTEMES LICSW
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 405 4TH ST NW
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City | AUSTIN
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State | MN
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Zip | 55912-3065
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Country | US
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Telephone | 507-433-3062
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Fax |
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Provider Business Mailing Address
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Address Line | 2107 14TH ST SW
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City | AUSTIN
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State | MN
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Zip | 55912-1739
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 476
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License Number State | MN
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