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General NPI Number Information
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NPI Number | 1891519260
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Entity Type | Individual
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Provider Name | DANIELLE WRIGHT CPM, LM
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 341 N MAIN ST
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City | SUFFOLK
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State | VA
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Zip | 23434-4422
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Country | US
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Telephone | 757-774-6790
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Fax |
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Provider Business Mailing Address
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Address Line | 15446 CEDAR GROVE RD
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City | CARROLLTON
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State | VA
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Zip | 23314-2201
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 0129000211
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License Number State | VA
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