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General NPI Number Information
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NPI Number | 1356471767
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Entity Type | Individual
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Provider Name | ANN REBECCA BARTHOLOMEW PA
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 237 WHITE ST STE 1
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6351
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Country | US
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Telephone | 910-577-4968
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Fax | 910-577-2916
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Provider Business Mailing Address
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Address Line | 160 IRIS WAY
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City | HAMPSTEAD
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State | NC
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Zip | 28443-3885
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Country | US
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Telephone | 404-667-8370
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA3830
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 003302
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2016-0047
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110-004577
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA05207
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 11181292-1206
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License Number State | UT
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-10190
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License Number State | NC
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