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General NPI Number Information
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NPI Number | 1992777197
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Entity Type | Individual
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Provider Name | CHRISTINE M BARTOLETTI O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 560 E CONTINENTAL RD STE 104
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-1825
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Country | US
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Telephone | 520-625-5673
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Fax | 520-625-6259
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Provider Business Mailing Address
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Address Line | 2003 S ROLLING ROCK PL
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-5159
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Country | US
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Telephone | 520-403-3669
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 00976
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License Number State | AZ
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