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General NPI Number Information
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NPI Number | 1801870167
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Entity Type | Individual
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Provider Name | JUANITA STOLTZFUS BARTER BSN RNC
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Gender | Female
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1651 MOUNT ZION RD
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City | YORK
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State | PA
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Zip | 17402-9086
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Country | US
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Telephone | 717-600-0900
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Fax | 717-600-0910
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Provider Business Mailing Address
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Address Line | 373 HOLLY HOCK CIR
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City | MOUNTVILLE
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State | PA
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Zip | 17554-1252
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Country | US
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Telephone | 717-285-0414
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | RN276296L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 532735
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License Number State | NY
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