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General NPI Number Information
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NPI Number | 1376905349
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Entity Type | Individual
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Provider Name | KATHLEEN M. POMBIER M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 1060 W PERIMETER RD
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City | JB ANDREWS
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State | MD
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Zip | 20762-6602
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Country | US
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Telephone | 309-981-5029
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Fax |
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Provider Business Mailing Address
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Address Line | 1060 W PERIMETER RD
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City | JB ANDREWS
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State | MD
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Zip | 20762-6602
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Country | US
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Telephone | 301-981-2806
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD465947
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101278933
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License Number State | VA
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