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General NPI Number Information
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NPI Number | 1124842604
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Entity Type | Individual
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Provider Name | DANIELLE ANJULI YBARRA SCOTT CNM
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 880 KEMPSVILLE RD STE 205
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City | NORFOLK
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State | VA
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Zip | 23502-3957
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Country | US
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Telephone | 757-761-9851
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Fax |
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Provider Business Mailing Address
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Address Line | 880 KEMPSVILLE RD STE 205
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City | NORFOLK
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State | VA
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Zip | 23502-3957
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 0001292073
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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 | 0024192313
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License Number State | VA
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