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General NPI Number Information
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NPI Number | 1083113047
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Entity Type | Individual
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Provider Name | KASSANDRA BARTHELEMY NP
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Gender | Female
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2211 QUARRY DR STE E58C
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City | WEST LAWN
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State | PA
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Zip | 19609-1170
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Country | US
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Telephone | 484-773-1141
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Fax | 484-214-7768
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Provider Business Mailing Address
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Address Line | 5017 PEPPER LN
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-9505
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Country | US
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Telephone | 267-431-5305
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP018713
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | AG01180040
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License Number State | PA
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