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General NPI Number Information
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NPI Number | 1962838607
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Entity Type | Individual
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Provider Name | BETHANY ELYSE KANE PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 296 SAINT CHARLES WAY
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City | YORK
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State | PA
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Zip | 17402-4648
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Country | US
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Telephone | 717-812-5050
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Fax | 717-741-2427
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Provider Business Mailing Address
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Address Line | PO BOX 1409 26840 POINT LOOKOUT ROAD
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City | LEONARDTOWN
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State | MD
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Zip | 20650-1409
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Country | US
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Telephone | 301-475-8091
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Fax | 301-475-6712
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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 | MA064217
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C0005150
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License Number State | MD
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