MEDICARE: TATIANA DENNING D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0102202474	VA

General Provider Information

NPI Number	:	1861723918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TATIANA DENNING D.O

Provider Business Mailing Address
First Line	:	16 E BERRY ST
Second Line	:
City	:	SANDSTON
State	:	VA
Zip	:	23150-2015
Country	:	US
Telephone Number	:	804-300-1923
Fax Number	:

Provider Business Practice Location Address
First Line	:	4911 AUGUSTA AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-3601
Country	:	US
Telephone Number	:	804-300-1923
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2010
Last Update Date	:	08/05/2011

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Directions to “ TATIANA DENNING D.O” Practice Location

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