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General NPI Number Information
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NPI Number | 1053686873
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Entity Type | Individual
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Provider Name | DIEDRIAN CLARKE
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Gender | Female
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Dates
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Enumeration Date | 03/12/2012
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1524 MAX WAY
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City | FISHKILL
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State | NY
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Zip | 12524-3942
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Country | US
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Telephone | 914-439-7815
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 MAX WAY
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City | FISHKILL
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State | NY
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Zip | 12524-3942
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 649609-1
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License Number State | NY
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