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General NPI Number Information
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NPI Number | 1194155192
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Entity Type | Individual
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Provider Name | AMY M. BARKSDALE CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 130 S BRYN MAWR AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-3121
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Country | US
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Telephone | 610-368-7877
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Fax | 610-642-3057
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Provider Business Mailing Address
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Address Line | 333 EDGEHILL RD
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City | WAYNE
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State | PA
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Zip | 19087-4716
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Country | US
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Telephone | 603-321-9712
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP013423
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License Number State | PA
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