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General NPI Number Information
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NPI Number | 1225835333
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Entity Type | Individual
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Provider Name | KERRY FITZPATRICK
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 818 CONNECTICUT AVE NW STE 500
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City | WASHINGTON
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State | DC
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Zip | 20006-2713
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Country | US
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Telephone | 203-887-7634
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Fax |
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Provider Business Mailing Address
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Address Line | 3089 S ABINGDON ST
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City | ARLINGTON
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State | VA
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Zip | 22206-1613
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Country | US
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Telephone |
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | V10KF19-22
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License Number State | DC
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