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General NPI Number Information
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NPI Number | 1699127936
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Entity Type | Individual
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Provider Name | CATHERINE TIERNEY CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 12111 DARNESTOWN RD
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City | GAITHERSBURG
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State | MD
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Zip | 20878-3211
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Country | US
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Telephone | 301-926-3020
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Fax | 215-829-5855
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Provider Business Mailing Address
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Address Line | 12111 DARNESTOWN RD
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City | GAITHERSBURG
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State | MD
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Zip | 20878-3211
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Country | US
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Telephone |
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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 | RN1023485
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024184998
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R213930
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License Number State | MD
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