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General NPI Number Information
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NPI Number | 1730531187
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Entity Type | Individual
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Provider Name | CAITLIN ANN CUNNINGHAM APRN
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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 | 02/04/2025
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Provider Practice Location Address
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Address Line | 3801 FAIRFAX DR STE 33
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City | ARLINGTON
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State | VA
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Zip | 22203-1762
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Country | US
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Telephone | 703-373-9699
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Fax | 240-386-8555
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Provider Business Mailing Address
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Address Line | 3801 FAIRFAX DR STE 33
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City | ARLINGTON
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State | VA
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Zip | 22203-1762
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Country | US
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Telephone | 703-373-9699
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Fax | 240-386-8555
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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 | RN1019766
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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 | 131503
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License Number State | OK
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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 | 0024180633
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License Number State | VA
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