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General NPI Number Information
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NPI Number | 1417605569
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Entity Type | Individual
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Provider Name | KATHRYN ANN POWERS DC
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Gender | Female
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Dates
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Enumeration Date | 03/16/2022
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 950 HERNDON PKWY STE 130
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City | HERNDON
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State | VA
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Zip | 20170-5526
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Country | US
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Telephone | 703-272-5402
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Fax |
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Provider Business Mailing Address
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Address Line | 650 POTOMAC AVE APT 412
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City | ALEXANDRIA
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State | VA
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Zip | 22301-3072
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Country | US
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Telephone | 814-762-1680
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104-557757
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License Number State | VA
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