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General NPI Number Information
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NPI Number | 1376434894
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Entity Type | Individual
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Provider Name | DENISE STATEN LPN
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Gender | Female
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Dates
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Enumeration Date | 07/12/2025
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 188 ONVILLE RD
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City | STAFFORD
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State | VA
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Zip | 22556-3805
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Country | US
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Telephone | 888-887-6867
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Fax |
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Provider Business Mailing Address
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Address Line | 8710 LANCASTER GATE RD
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-8735
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Country | US
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Telephone | 540-907-7589
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 0002076250
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License Number State | VA
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