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General NPI Number Information
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NPI Number | 1053788851
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Entity Type | Organization
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Legal Business Name | DIANA BARRENECHE, INC
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 7100 W CAMINO REAL STE 200
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 561-674-2859
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Fax | 561-571-0316
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Provider Business Mailing Address
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Address Line | 102 NE 2ND ST STE 210
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City | BOCA RATON
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State | FL
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Zip | 33432-3908
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Country | US
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Telephone | 561-674-2859
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Fax | 561-571-0316
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DIANA MARIA BARRENECHE
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Credential | AUD
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Telephone | 305-965-2016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY1546
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License Number State | FL
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