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General NPI Number Information
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NPI Number | 1194393728
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Entity Type | Individual
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Provider Name | N'KEYAH DIAZ REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 24 PENNACOOK ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3554
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Country | US
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Telephone | 603-669-7321
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Fax |
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Provider Business Mailing Address
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Address Line | 131 WATER ST
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City | FITCHBURG
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State | MA
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Zip | 01420
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Country | US
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 112093-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 10004904
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2351078
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License Number State | MA
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