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General NPI Number Information
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NPI Number | 1255392528
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Entity Type | Individual
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Provider Name | KIA MARIE WILLIAMS EAGLETON MSN ANP BC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 3180 FAIRVIEW PARK DR
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City | FALLS CHURCH
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State | VA
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Zip | 22042-4583
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Country | US
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Telephone | 703-538-2065
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1460
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City | FREDERICKSBURG
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State | VA
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Zip | 22402-1460
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Country | US
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Telephone | 540-786-2100
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Fax | 540-786-0677
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11038918
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | TP005897X
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AC007562
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP200001473
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NN08813900
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024171616
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License Number State | VA
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