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General NPI Number Information
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NPI Number | 1366843245
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Entity Type | Individual
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Provider Name | KRISTIN BARBATO MCCLYMONT DNP CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 3914 CENTREVILLE RD
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City | CHANTILLY
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State | VA
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Zip | 20151-3289
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Country | US
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Telephone | 703-481-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 3914 CENTREVILLE RD STE 101
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City | CHANTILLY
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State | VA
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Zip | 20151-3289
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Country | US
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Telephone | 703-481-8600
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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 | SP014177
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License Number State | PA
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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 | 0024189947
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License Number State | VA
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