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General NPI Number Information
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NPI Number | 1902420763
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Entity Type | Individual
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Provider Name | GERGOTY BARTHELUS RN
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Gender | Female
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Dates
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Enumeration Date | 06/07/2020
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 211 W MORRIS AVE FL 2
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City | LINDEN
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State | NJ
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Zip | 07036-4326
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Country | US
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Telephone | 732-609-4774
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Fax |
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Provider Business Mailing Address
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Address Line | 133 CARIBE CT
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City | GREENACRES
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State | FL
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Zip | 33413-2149
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Country | US
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Telephone | 470-292-1271
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11049696
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 360754
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR17868800
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License Number State | NJ
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