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General NPI Number Information
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NPI Number | 1548661283
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Entity Type | Individual
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Provider Name | KATHERINE ANN ARCHUT FNP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 21785 FILIGREE CT STE 100
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City | ASHBURN
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State | VA
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Zip | 20147-6213
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Country | US
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Telephone | 703-554-1120
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Fax | 703-554-1122
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Provider Business Mailing Address
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Address Line | 2 UNIVERSITY PLZ STE 204
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City | HACKENSACK
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State | NJ
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Zip | 07601-6211
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Country | US
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Telephone | 551-295-8223
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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 | 0024172022
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License Number State | VA
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