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General NPI Number Information
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NPI Number | 1649795204
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Entity Type | Individual
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Provider Name | KATHRINE DIBARTOLOME
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Gender | Female
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 6263 POPLAR AVE
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City | MEMPHIS
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State | TN
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Zip | 38119-4701
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Country | US
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Telephone | 714-366-9226
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Fax |
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Provider Business Mailing Address
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Address Line | 181 W PROFESSIONAL PARK CT STE 1
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3250
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Country | US
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Telephone |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 4055
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License Number State | CA
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