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General NPI Number Information
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NPI Number | 1154185643
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Entity Type | Individual
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Provider Name | KATHRYN APPERSON IVEY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 02/08/2025
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Provider Practice Location Address
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Address Line | 8081 INNOVATION PARK DR
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City | FAIRFAX
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State | VA
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Zip | 22031-4867
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Country | US
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Telephone | 571-472-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 13646 FOREST POND CT
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City | CENTREVILLE
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State | VA
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Zip | 20121-3011
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Country | US
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Telephone | 703-473-4897
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001288029
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License Number State | VA
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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 | 0024190967
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License Number State | VA
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