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General NPI Number Information
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NPI Number | 1538709555
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Entity Type | Individual
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Provider Name | DANIELLE MEESHA ROPER NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 01/07/2020
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 392 GARRISONVILLE RD
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City | STAFFORD
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State | VA
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Zip | 22554-1500
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Country | US
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Telephone | 410-804-5424
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Fax |
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Provider Business Mailing Address
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Address Line | 11114 WORTHAM CREST CIR
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City | MANASSAS
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State | VA
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Zip | 20109-5689
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Country | US
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Telephone | 707-208-4326
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024178069
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License Number State | VA
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