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General NPI Number Information
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NPI Number | 1356817530
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Entity Type | Individual
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Provider Name | KATHLEEN NICOLE ANTHONY-DRESSEL NP
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Gender | Female
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 3020 HAMAKER CT STE 502
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City | FAIRFAX
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State | VA
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Zip | 22031-2220
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Country | US
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Telephone | 703-208-7257
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Fax |
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Provider Business Mailing Address
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Address Line | 3580 MARTHA CUSTIS DR
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City | ALEXANDRIA
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State | VA
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Zip | 22302-2001
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Country | US
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Telephone | 310-876-4088
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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 | 0001272855
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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 | 0024176958
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN1030113
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License Number State | DC
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