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General NPI Number Information
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NPI Number | 1407529324
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Entity Type | Individual
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Provider Name | HOPE SHARNETTE BARTLETT CNA
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Gender | Female
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 202 FOREST GLEN DR
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-3004
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Country | US
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Telephone | 757-713-1203
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Fax |
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Provider Business Mailing Address
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Address Line | 205 CRANE CIR APT G
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-5122
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Country | US
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Telephone | 757-713-1203
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 1401179013
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License Number State | VA
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