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General NPI Number Information
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NPI Number | 1114403649
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Entity Type | Individual
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Provider Name | KATHARINE FUNARI O.D
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Gender | Female
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 6430 ROCKLEDGE DR STE 600
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City | BETHESDA
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State | MD
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Zip | 20817-7813
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Country | US
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Telephone | 240-482-1100
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Fax | 240-482-1105
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Provider Business Mailing Address
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Address Line | 6420 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2052
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Country | US
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Telephone |
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Fax | 240-482-1105
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2664
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License Number State | MD
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