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General NPI Number Information
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NPI Number | 1063621969
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Entity Type | Individual
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Provider Name | DIANA LAURINE HUGHES-COLEMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 157 E. LAWN AVE
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City | ST. CLAIRSVILLE
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State | OH
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Zip | 43950
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Country | US
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Telephone | 740-526-0100
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Fax | 740-526-0400
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Provider Business Mailing Address
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Address Line | 157 E. LAWN AVE
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City | ST. CLAIRSVILLE
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State | OH
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Zip | 43950
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Country | US
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Telephone | 740-526-0100
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Fax | 740-526-0400
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 00368
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 000748
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.000748
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License Number State | OH
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