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General NPI Number Information
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NPI Number | 1902742141
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Entity Type | Individual
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Provider Name | KATHLEEN HARRELSON CNM, WHNP-BC, MSN
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 2296 OPITZ BLVD STE 440
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3355
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Country | US
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Telephone | 703-878-0740
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Fax |
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Provider Business Mailing Address
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Address Line | 10313 DERBY DR
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City | LAUREL
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State | MD
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Zip | 20723-5702
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0024196842
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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