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General NPI Number Information
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NPI Number | 1962555664
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Entity Type | Individual
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Provider Name | KATHERINE ANNE MCGRATH DDS, FAGD
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9679 MAIN ST STE A
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City | FAIRFAX
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State | VA
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Zip | 22031-3766
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Country | US
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Telephone | 703-978-6556
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Fax | 703-426-1405
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Provider Business Mailing Address
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Address Line | 9679 MAIN ST STE A
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City | FAIRFAX
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State | VA
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Zip | 22031-3766
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Country | US
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Telephone | 703-978-6556
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Fax | 703-426-1405
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401005636
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License Number State | VA
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