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General NPI Number Information
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NPI Number | 1457548877
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Entity Type | Individual
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Provider Name | KATHERINE MARIE HARCLERODE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2007
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 1 BARRINGTON PL STE 106
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City | BEL AIR
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State | MD
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Zip | 21014-5607
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Country | US
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Telephone | 443-686-8062
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BARRINGTON PL STE 106
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City | BEL AIR
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State | MD
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Zip | 21014-5607
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Country | US
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Telephone | 443-686-8062
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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 | R165459
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License Number State | MD
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