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General NPI Number Information
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NPI Number | 1487391934
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Entity Type | Individual
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Provider Name | DANIELLE ROSE DIGUARDIA DDS
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Gender | Female
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 1319 JAMESTOWN RD
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3365
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Country | US
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Telephone | 571-264-5352
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Fax |
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Provider Business Mailing Address
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Address Line | 2010 STUART AVE APT 3
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City | RICHMOND
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State | VA
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Zip | 23220-3542
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401417953
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License Number State | VA
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