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General NPI Number Information
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NPI Number | 1497189500
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Entity Type | Individual
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Provider Name | BETHANY GALE SAMPSELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 1777 5TH AVE
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City | YORK
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State | PA
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Zip | 17403-2632
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Country | US
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Telephone | 717-843-8051
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Fax | 717-848-2578
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Provider Business Mailing Address
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Address Line | 2112 HARRISBURG PIKE SUITE 312
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City | LANCASTER
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State | PA
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Zip | 17601-2644
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Country | US
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Telephone | 717-544-3022
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Fax | 717-544-3021
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP012302
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License Number State | PA
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