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General NPI Number Information
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NPI Number | 1841243094
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Entity Type | Individual
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Provider Name | KATHERINE H NGUYEN PA
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 915 N ST SE BLDG 175 WASHINGTON NAVY YARD
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City | WASHINGTON
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State | DC
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Zip | 20374-5162
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Country | US
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Telephone | 202-433-3132
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Fax |
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Provider Business Mailing Address
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Address Line | 5127 VERONICA RD
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City | CENTREVILLE
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State | VA
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Zip | 20120-6435
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Country | US
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Telephone | 703-830-7093
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110-001392
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License Number State | VA
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