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General NPI Number Information
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NPI Number | 1598103129
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Entity Type | Individual
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Provider Name | DEANNA MICHELLE WASHINGTON FNP
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Gender | Female
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 7048 MECHANICSVILLE TPKE
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-7101
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Country | US
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Telephone | 804-730-9498
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Fax |
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Provider Business Mailing Address
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Address Line | 7048 MECHANICSVILLE TPKE
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-7101
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Country | US
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Telephone | 347-756-0839
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024175341
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 337760
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License Number State | NY
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