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General NPI Number Information
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NPI Number | 1952548489
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Entity Type | Individual
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Provider Name | WILLIAM MACK BARTELS PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 03/14/2009
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Provider Practice Location Address
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Address Line | 144 ROUTE 17M
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City | HARRIMAN
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State | NY
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Zip | 10926-3329
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Country | US
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Telephone | 914-805-3094
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Fax | 888-894-4861
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Provider Business Mailing Address
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Address Line | 53 OTIS RD
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City | MIDDLETOWN
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State | NY
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Zip | 10940-7607
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Country | US
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Telephone | 914-805-3094
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Fax | 888-894-4861
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 016948-1
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License Number State | NY
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