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General NPI Number Information
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NPI Number | 1841001138
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Entity Type | Individual
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Provider Name | DENISHA MONIQUE DELEON AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 912 S WASHINGTON AVE STE B
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City | SAGINAW
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State | MI
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Zip | 48601-2578
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Country | US
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Telephone | 989-791-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 2114 2ND ST
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City | BAY CITY
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State | MI
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Zip | 48708-6301
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Country | US
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Telephone | 989-992-0295
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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 | 4704334829
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License Number State | MI
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