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NPI Code Detail

MEDICARE: DIANE DOBIE RN

MEDICARE:   DIANE  DOBIE  RN
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
1163W00000XRegistered Nurse5924111NY

General Provider Information

NPI Number : 1548683170
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE DOBIE RN
Provider Business Mailing Address
First Line : 3380 SHERIDAN DR
Second Line :
City : AMHERST
State : NY
Zip : 14226-1439
Country : US
Telephone Number : 210-627-4083
Fax Number :
Provider Business Practice Location Address
First Line : 3380 SHERIDAN DR
Second Line :
City : AMHERST
State : NY
Zip : 14226-1439
Country : US
Telephone Number : 210-627-4083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2014
Last Update Date : 02/03/2014

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