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General NPI Number Information
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NPI Number | 1730066697
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Entity Type | Individual
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Provider Name | DESHAWNA SADE OXENDINE
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Gender | Female
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 6160 KEMPSVILLE CIR STE 325A
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City | NORFOLK
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State | VA
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Zip | 23502-3933
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Country | US
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Telephone | 757-354-2885
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 GIGLING RD
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City | SEASIDE
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State | CA
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Zip | 93955-8305
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Country | US
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Telephone | 757-469-6044
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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 | 0024181377
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License Number State | VA
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