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General NPI Number Information
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NPI Number | 1316681042
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Entity Type | Individual
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Provider Name | TERESA LYNN DENISON NP
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Gender | Female
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 600 GRESHAM DR FL 5
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-388-3198
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Fax |
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Provider Business Mailing Address
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Address Line | 600 GRESHAM DR FL 5
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-388-3198
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11019109
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024186398
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024186398
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License Number State | VA
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