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General NPI Number Information
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NPI Number | 1134233281
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Entity Type | Individual
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Provider Name | PAULA DIAMANTE MD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 37 BALL PARK ROAD
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City | HARLAN
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State | KS
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Zip | 40831
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Country | US
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Telephone | 606-573-4520
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Fax | 606-574-8457
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Provider Business Mailing Address
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Address Line | 840 S COLLIER BLVD
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City | MARCO ISLAND
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State | FL
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Zip | 34145-6154
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Country | US
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Telephone | 606-573-4520
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Fax | 606-574-8457
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | TP748
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License Number State | KY
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