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General NPI Number Information
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NPI Number | 1992777890
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Entity Type | Individual
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Provider Name | EILEEN M BARTO M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 319 SERGEANT SQUARE DR
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City | SERGEANT BLUFF
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State | IA
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Zip | 51054-7729
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Country | US
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Telephone | 712-943-2500
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Fax | 712-943-5696
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Provider Business Mailing Address
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Address Line | 319 SERGEANT SQUARE DR
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City | SERGEANT BLUFF
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State | IA
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Zip | 51054-7729
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Country | US
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Telephone | 712-943-2500
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Fax | 712-943-5696
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 32019
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License Number State | IA
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