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General NPI Number Information
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NPI Number | 1720972987
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Entity Type | Individual
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Provider Name | KATHERINE JOHANNA BEDNAREK FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 7263 ARLINGTON BLVD STE F
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3219
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Country | US
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Telephone | 703-775-0777
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Fax |
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Provider Business Mailing Address
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Address Line | 6556 OSPREY POINT LN
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5935
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Country | US
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Telephone | 703-336-7460
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Fax | 703-336-7460
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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 | 0024192705
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License Number State | VA
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