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General NPI Number Information
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NPI Number | 1265689715
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Entity Type | Individual
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Provider Name | KATHYRN ELIZABETH NOVAK NP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 9801 GEORGIA AVE STE 333
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City | SILVER SPRING
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State | MD
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Zip | 20902-5276
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Country | US
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Telephone | 240-351-3994
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Fax | 443-546-9520
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Provider Business Mailing Address
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Address Line | 3263 GWENLEE CIR
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City | GLENWOOD
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State | MD
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Zip | 21738-9417
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Country | US
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Telephone | 240-688-8924
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Fax | 443-546-9520
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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 | R086543
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R086543
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License Number State | MD
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