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General NPI Number Information
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NPI Number | 1336056365
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Entity Type | Individual
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Provider Name | DESERE CHILDERS MSN, RN, C-EFM
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 2000 N BEAUREGARD ST APT 607
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City | ALEXANDRIA
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State | VA
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Zip | 22311-4643
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Country | US
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Telephone | 330-564-3019
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 N BEAUREGARD ST APT 607
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City | ALEXANDRIA
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State | VA
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Zip | 22311-4643
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Country | US
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Telephone | 330-564-3019
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN500226323
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License Number State | DC
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