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General NPI Number Information
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NPI Number | 1508735978
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Entity Type | Individual
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Provider Name | KATHLEEN HARRELL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 5215 LOUGHBORO RD NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2618
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Country | US
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Telephone | 202-903-0660
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-0000
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Fax | 410-500-4266
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP500328662
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F05231038
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License Number State | MA
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