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General NPI Number Information
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NPI Number | 1043587959
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Entity Type | Individual
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Provider Name | DIANA SAUM HERRING M.S.
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Gender | Female
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Dates
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Enumeration Date | 11/20/2011
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 3251 3RD AVE N. SUITE 125
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713
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Country | US
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Telephone | 727-321-3854
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Fax |
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Provider Business Mailing Address
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Address Line | 998 EMERSON DR
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City | DUNEDIN
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State | FL
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Zip | 34698-6039
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Country | US
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Telephone | 727-422-5659
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Fax | 727-734-8813
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH1268
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License Number State | FL
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