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General NPI Number Information
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NPI Number | 1871316661
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Entity Type | Individual
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Provider Name | DANETH COLLEY
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Gender | Female
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 406 CHATHAM SQUARE OFFICE PARK
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City | FREDERICKBURG
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State | VA
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Zip | 22405
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Country | US
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Telephone | 540-666-6181
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Fax |
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Provider Business Mailing Address
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Address Line | 4253 EXETER DR
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City | DUMFRIES
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State | VA
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Zip | 22025-3107
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024191706
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License Number State | VA
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