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General NPI Number Information
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NPI Number | 1396630455
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Entity Type | Individual
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Provider Name | CATHERINE E WYMER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 8280 WILLOW OAKS CO DR STE 250
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City | FAIRFAX
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State | VA
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Zip | 22031-4526
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Country | US
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Telephone | 571-472-1678
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 WILSON BLVD APT 1412
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City | ARLINGTON
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State | VA
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Zip | 22203-4473
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Country | US
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Telephone | 412-973-4447
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Fax | 412-973-4447
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP456776
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 29189
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 0202222304
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License Number State | VA
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