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General NPI Number Information
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NPI Number | 1548910565
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Entity Type | Individual
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Provider Name | KATHERINE STRIKE WILD WHNP
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Gender | Female
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 1443 U ST NW
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City | WASHINGTON
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State | DC
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Zip | 20009-3974
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Country | US
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Telephone | 202-481-2050
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Fax |
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Provider Business Mailing Address
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Address Line | 15567 EAGLE TAVERN LN
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City | CENTREVILLE
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State | VA
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Zip | 20120-3703
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Country | US
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Telephone | 757-871-2497
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP1054863
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License Number State | DC
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