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General NPI Number Information
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NPI Number | 1346769643
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Entity Type | Individual
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Provider Name | CATHERINE WAMBUI GITHAIGA CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 09/18/2017
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Provider Practice Location Address
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Address Line | 814 TOLL HOUSE AVE
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City | FREDERICK
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State | MD
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Zip | 21701-4519
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Country | US
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Telephone | 301-662-8310
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Fax |
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Provider Business Mailing Address
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Address Line | 140 CROSSWINDS DR
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City | CHARLES TOWN
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State | WV
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Zip | 25414-3905
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Country | US
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Telephone | 410-274-7666
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R212530
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License Number State | MD
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