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General NPI Number Information
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NPI Number | 1154669562
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Entity Type | Individual
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Provider Name | MARILYN F NENDZA RN CNS
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Gender | Female
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 545 SOUTHLAKE BLVD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-3042
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Country | US
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Telephone | 804-378-8254
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Fax | 804-378-3264
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Provider Business Mailing Address
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Address Line | 9515 CATESBY LN
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City | RICHMOND
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State | VA
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Zip | 23238-4453
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Country | US
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Telephone | 804-378-8254
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Fax | 804-378-3264
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 0015000137
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License Number State | VA
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