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General NPI Number Information
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NPI Number | 1275359234
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Entity Type | Individual
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Provider Name | JENNIFER MEREDITH DENNY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 1300 W BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23284-9058
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Country | US
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Telephone | 804-828-8828
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Fax |
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Provider Business Mailing Address
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Address Line | 340 MANCHESTER RD
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City | BUMPASS
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State | VA
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Zip | 23024-3175
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Country | US
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Telephone | 540-872-8151
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024191441
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License Number State | VA
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