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General NPI Number Information
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NPI Number | 1982888178
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Entity Type | Organization
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Legal Business Name | JEREMIAH A BARTLEY, MD
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 12/24/2007
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Provider Practice Location Address
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Address Line | 1606 PRAIRIE CENTER PKWY SUITE 370
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City | BRIGHTON
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State | CO
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Zip | 80601-4004
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Country | US
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Telephone | 303-659-7161
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Fax | 303-659-8017
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Provider Business Mailing Address
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Address Line | 1606 PRAIRIE CENTER PARKWAY SUITE 370
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City | BRIGHTON
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State | CO
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Zip | 80601-4005
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Country | US
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Telephone | 303-659-7161
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Fax | 303-659-8017
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEREMIAH AMON BARTLEY
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Credential | MD
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Telephone | 303-659-7161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 27503
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License Number State | CO
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