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General NPI Number Information
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NPI Number | 1144904541
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Entity Type | Individual
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Provider Name | ARIANNA DIORIO MS, LAT, ATC, PES
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Gender | Female
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 900 WORCESTER ST
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City | WELLESLEY
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State | MA
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Zip | 02482-3708
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Country | US
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Telephone | 508-350-5022
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Fax |
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Provider Business Mailing Address
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Address Line | 43 REVERE BEACH BLVD APT 8
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City | REVERE
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State | MA
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Zip | 02151-3666
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Country | US
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Telephone | 617-593-3621
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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 | 2083S0010X
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Taxonomy Name | Sports Medicine (Preventive Medicine) Physician
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License Number | 51936
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License Number State | MA
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