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General NPI Number Information
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NPI Number | 1447195243
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Entity Type | Individual
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Provider Name | CATHERINE SOPHIA BURGIN AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 18101 PRINCE PHILIP DR
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City | OLNEY
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State | MD
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Zip | 20832-1514
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Country | US
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Telephone | 301-774-8882
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Fax |
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Provider Business Mailing Address
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Address Line | 10980 GRANTCHESTER WAY
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City | COLUMBIA
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State | MD
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Zip | 21044-6097
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Country | US
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Telephone | 703-473-0758
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024195020
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License Number State | VA
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