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General NPI Number Information
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NPI Number | 1033305073
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Entity Type | Individual
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Provider Name | CHERYL DIFLOE NP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | C/O THE METHODIST HOSPITAL 6565 FANNIN MGJ11-002
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-441-5035
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Fax |
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Provider Business Mailing Address
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Address Line | 14915 INVERRARY DR
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City | HOUSTON
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State | TX
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Zip | 77095-2804
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Country | US
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Telephone | 281-550-6737
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 651999
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License Number State | TX
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