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General NPI Number Information
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NPI Number | 1104002161
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Entity Type | Individual
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Provider Name | KATHLEEN ANNE BARRETT CFNP
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Gender | Female
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Dates
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Enumeration Date | 01/21/2008
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 701 BEDFORD RD # B
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City | BEDFORD HILLS
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State | NY
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Zip | 10507-1527
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Country | US
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Telephone | 914-666-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 211 BOBBY JONES EXPY STE C
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City | MARTINEZ
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State | GA
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Zip | 30907-5253
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Country | US
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Telephone | 706-860-3355
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Fax | 706-860-8765
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 331225
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License Number State | NY
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