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General NPI Number Information
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NPI Number | 1063111672
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Entity Type | Individual
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Provider Name | DIANE MAXWELL NP
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Gender | Female
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1385 S HIGHLAND AVE STE B1
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City | JACKSON
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State | TN
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Zip | 38301-7547
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Country | US
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Telephone | 731-427-0470
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Fax | 731-427-0995
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Provider Business Mailing Address
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Address Line | 1385 S HIGHLAND AVE STE B1
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City | JACKSON
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State | TN
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Zip | 38301-7547
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Country | US
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Telephone | 731-427-0470
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Fax | 731-427-0995
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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 | 0000243667
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN0000036026
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License Number State | TN
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