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General NPI Number Information
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NPI Number | 1255294088
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Entity Type | Individual
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Provider Name | ABBY BARTHOLOMEW NNP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 877 JEFFERSON AVE
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City | MEMPHIS
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State | TN
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Zip | 38103-2807
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Country | US
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Telephone | 901-545-7366
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 ABBAWOOD
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City | OXFORD
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State | MS
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Zip | 38655-1059
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Country | US
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Telephone | 901-258-8152
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | R897725
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License Number State | MS
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