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General NPI Number Information
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NPI Number | 1962368076
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Entity Type | Individual
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Provider Name | CIERRA CUSTER RN
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Gender | Female
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 44045 RIVERSIDE PKWY
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City | LEESBURG
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State | VA
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Zip | 20176-5101
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Country | US
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Telephone | 703-858-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 119 KESWICK CT
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City | WINCHESTER
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State | VA
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Zip | 22602-7807
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Country | US
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Telephone | 703-608-3598
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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 | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | 0001304329
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License Number State | VA
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