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General NPI Number Information
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NPI Number | 1679299762
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH VON EISENBURG WHNP- BC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 9601 BLACKWELL RD STE 220
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City | ROCKVILLE
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State | MD
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Zip | 20850-6491
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Country | US
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Telephone | 301-318-8229
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 POSTAL RD UNIT 81310
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City | CLEVELAND
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State | OH
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Zip | 44181-2112
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Country | US
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Telephone | 301-340-8339
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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 | 1051322
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0024192027
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 0024192027
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License Number State | VA
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