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General NPI Number Information
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NPI Number | 1407650757
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Entity Type | Individual
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Provider Name | DANA LA'SHANE PINA WILLIAMS RN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 219 ISLAND COVE CT APT A
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City | HAMPTON
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State | VA
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Zip | 23669-5604
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Country | US
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Telephone | 843-557-4611
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Fax |
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Provider Business Mailing Address
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Address Line | 4410 CLAIBORNE SQ E STE 334
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City | HAMPTON
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State | VA
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Zip | 23666-2074
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Country | US
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Telephone | 843-557-4611
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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 | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 101840
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 101840
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License Number State | SC
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