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NPI Code Detail

MEDICARE: MRS. DENISE LYNNE POPE-WOODS RN

MEDICARE: MRS. DENISE LYNNE POPE-WOODS RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN246828OH

General Provider Information

NPI Number : 1558481077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DENISE LYNNE POPE-WOODS RN
Provider Business Mailing Address
First Line : 5660 ELGIN ROOF RD
Second Line :
City : DAYTON
State : OH
Zip : 45426-1816
Country : US
Telephone Number : 937-660-3097
Fax Number : 937-660-3093
Provider Business Practice Location Address
First Line : 5660 ELGIN ROOF RD
Second Line :
City : DAYTON
State : OH
Zip : 45426-1816
Country : US
Telephone Number : 937-660-3097
Fax Number : 937-660-3093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/08/2007

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