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General NPI Number Information
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NPI Number | 1467300467
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Entity Type | Individual
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Provider Name | KATHRYN CHURCH RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 333 W FREEMASON ST
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City | NORFOLK
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State | VA
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Zip | 23510-1263
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Country | US
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Telephone | 757-741-6033
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Fax |
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Provider Business Mailing Address
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Address Line | 1892 ROCK LAKE LOOP
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-5818
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Country | US
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Telephone | 209-753-8082
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001282679
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 775694
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 0001282679
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 163WN1003X
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Taxonomy Name | Nutrition Support Registered Nurse
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License Number | 0001282679
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 163WX0002X
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Taxonomy Name | High-Risk Obstetric Registered Nurse
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License Number | 0001282679
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-317279
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License Number State | VA
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